Pain Relief Pm Tablet, Coated
NDC Package 41250-195-03

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

Package Information

This product is approaching its end of marketing date. An upcoming end of marketing date means the product has been delisted but will remain in the NDC database until the end of marketing date is reached. In most cases, the FDA advises firms to use the expiration date of the last lot produced as the end marketing date, reflecting the possibility that the product may still be available even after manufacturing has stopped.

Pain Relief Pm (acetaminophen and diphenhydramine hydrochloride) tablets is do not take more than directed (see overdose warning) adults and children 12 years and overtake 2 caplets at bedtimedo not take more than 2 caplets of this product in 24 hourschildren under 12 yearsdo not use. This formulation utilizes a tablet, coated delivery system. Marketed by Meijer, this product is identified by NDC 41250-195 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
41250-195-03
Package Description
1 BOTTLE, PLASTIC in 1 CARTON / 100 TABLET, COATED in 1 BOTTLE, PLASTIC
Product Code
41250-195
11-Digit Billing Format
41250019503
RxNorm Crosswalk
  • RxCUI: 1092189 - acetaminophen 500 MG / diphenhydrAMINE HCl 25 MG Oral Tablet
  • RxCUI: 1092189 - acetaminophen 500 MG / diphenhydramine hydrochloride 25 MG Oral Tablet
  • RxCUI: 1092189 - APAP 500 MG / diphenhydramine hydrochloride 25 MG Oral Tablet

Clinical Specifications

Proprietary Name
Pain Relief Pm
Non-Proprietary Name
Acetaminophen And Diphenhydramine Hydrochloride
Substance Name
Acetaminophen; Diphenhydramine Hydrochloride
Dosage Form
Tablet, Coated - A solid dosage form that contains medicinal substances with or without suitable diluents and is covered with a designated coating.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Do not take more than directed (see overdose warning) adults and children 12 years and overtake 2 caplets at bedtimedo not take more than 2 caplets of this product in 24 hourschildren under 12 yearsdo not use

Regulatory & Marketing

Labeler Name
Meijer
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-01-2017
End Marketing Date
09-30-2026
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (41250-195). Click a package code to view its specific billing and regulatory data.

41250-195-02
1 BOTTLE, PLASTIC in 1 CARTON / 50 TABLET, COATED in 1 BOTTLE, PLASTIC
41250-195-09
2 BOTTLE, PLASTIC in 1 CARTON / 100 TABLET, COATED in 1 BOTTLE, PLASTIC

* 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 41250-195-03 identifies a specific commercial package of 1 bottle, plastic in 1 carton / 100 tablet, coated in 1 bottle, plastic of Pain Relief Pm, a human over the counter drug labeled by Meijer. This tablet, coated is formulated for oral use and contains acetaminophen; diphenhydramine hydrochloride 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 on May 01, 2017.

How is this Meijer product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 41250019503. 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)
41250-195-03
11-Digit CMS (5-4-2)
41250-0195-03

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