Diphenhydramine Hcl And Zinc Acetate Spray
NDC Package 41250-058-30

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Diphenhydramine Hcl And Zinc Acetate (extra strength itch relief) sprays is adults and children 2 years of age and older: apply to affected area not more than 3 to 4 times dailychildren under 2 years of age: ask a doctor. This formulation utilizes a spray delivery system. Marketed by Meijer Distribution Inc, this product is identified by NDC 41250-058 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
41250-058-30
Package Description
76 g in 1 CAN
Product Code
41250-058
11-Digit Billing Format
41250005830
RxNorm Crosswalk
  • RxCUI: 1053138 - diphenhydrAMINE HCl 2 % / zinc acetate 0.1 % Topical Spray
  • RxCUI: 1053138 - diphenhydramine hydrochloride 20 MG/ML / zinc acetate 1 MG/ML Topical Spray
  • RxCUI: 1053138 - diphenhydramine hydrochloride 2 % / zinc acetate 0.1 % Topical Spray

Clinical Specifications

Proprietary Name
Diphenhydramine Hcl And Zinc Acetate
Non-Proprietary Name
Extra Strength Itch Relief
Substance Name
Diphenhydramine Hydrochloride; Zinc Acetate
Dosage Form
Spray - A liquid minutely divided as by a jet of air or steam.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Adults and children 2 years of age and older: apply to affected area not more than 3 to 4 times dailychildren under 2 years of age: ask a doctor

Regulatory & Marketing

Labeler Name
Meijer Distribution Inc
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-15-2015
End Marketing Date
05-31-2027
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 41250-058-30 identifies a specific commercial package of 76 g in 1 can of Diphenhydramine Hcl And Zinc Acetate, a human over the counter drug labeled by Meijer Distribution Inc. This spray is formulated for topical use and contains diphenhydramine hydrochloride; zinc acetate as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Meijer Distribution Inc on September 15, 2015.

How is this Meijer Distribution Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 41250005830. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
41250-058-30
11-Digit CMS (5-4-2)
41250-0058-30

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.