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  5. NDC Package Code: 0904-6772-12 Dimenhydrinate

NDC Package 0904-6772-12 Dimenhydrinate

Tablet Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0904-6772-12
Package Description:
1 BLISTER PACK in 1 CARTON / 12 TABLET in 1 BLISTER PACK
Product Code:
0904-6772
Proprietary Name:
Dimenhydrinate
Non-Proprietary Name:
Dimenhydrinate
Substance Name:
Dimenhydrinate
Usage Information:
Dimenhydrinate is an antihistamine used to prevent and treat nausea, vomiting and dizziness caused by motion sickness when medication cannot be given by mouth. Dimenhydrinate injection should not be used in newborns because of an increased risk of side effects.
11-Digit NDC Billing Format:
00904677212
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
1 EA
NDC to RxNorm Crosswalk:
  • RxCUI: 198603 - dimenhyDRINATE 50 MG Oral Tablet
  • RxCUI: 198603 - dimenhydrinate 50 MG Oral Tablet
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Major Pharmaceuticals
    Dosage Form:
    Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • DIMENHYDRINATE 50 mg/1
    • Sample Package:
    No
    FDA Application Number:
    part336
    Marketing Category:
    OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
    Start Marketing Date:
    02-14-2019
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 0904-6772-12?

    The NDC Packaged Code 0904-6772-12 is assigned to a package of 1 blister pack in 1 carton / 12 tablet in 1 blister pack of Dimenhydrinate, a human over the counter drug labeled by Major Pharmaceuticals. The product's dosage form is tablet and is administered via oral form.

    Is NDC 0904-6772 included in the NDC Directory?

    Yes, Dimenhydrinate with product code 0904-6772 is active and included in the NDC Directory. The product was first marketed by Major Pharmaceuticals on February 14, 2019 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 0904-6772-12?

    The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 1.

    What is the 11-digit format for NDC 0904-6772-12?

    The 11-digit format is 00904677212. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    4-4-20904-6772-125-4-200904-6772-12