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  5. NDC Package Code: 52904-960-04 Benadryl

NDC Package 52904-960-04 Benadryl

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

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:
52904-960-04
Package Description:
1 POUCH in 1 BLISTER PACK / 2 TABLET, FILM COATED in 1 POUCH
Product Code:
52904-960
Proprietary Name:
Benadryl
Usage Information:
Take every 4 to 6 hours, or as directed by a doctordo not take more than 6 times in 24 hoursadults and children 12 years and over1 to 2 tabletschildren 6 to under 12 years1 tabletchildren under 6 yearsdo not use
11-Digit NDC Billing Format:
52904096004
NDC to RxNorm Crosswalk:
  • RxCUI: 1049630 - diphenhydrAMINE HCl 25 MG Oral Tablet
  • RxCUI: 1049630 - diphenhydramine hydrochloride 25 MG Oral Tablet
  • RxCUI: 1049632 - Benadryl 25 MG Oral Tablet
  • RxCUI: 1049632 - diphenhydramine hydrochloride 25 MG Oral Tablet [Benadryl]
  • RxCUI: 1049632 - Benadryl Allergy Ultratab 25 MG Oral Tablet
    • Labeler Name:
    Select Corporation
    Sample Package:
    No
    Start Marketing Date:
    09-01-2008
    Listing Expiration Date:
    12-31-2023
    Exclude Flag:
    I
    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.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    52904-960-052 POUCH in 1 BLISTER PACK / 2 TABLET, FILM COATED in 1 POUCH
    52904-960-2020 POUCH in 1 CARTON / 2 TABLET, FILM COATED in 1 POUCH
    52904-960-2525 POUCH in 1 CARTON / 2 TABLET, FILM COATED in 1 POUCH
    52904-960-3030 POUCH in 1 CARTON / 2 TABLET, FILM COATED in 1 POUCH

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 52904-960-04?

    The NDC Packaged Code 52904-960-04 is assigned to a package of 1 pouch in 1 blister pack / 2 tablet, film coated in 1 pouch of Benadryl, labeled by Select Corporation. The product's dosage form is and is administered via form.

    Is NDC 52904-960 included in the NDC Directory?

    No, Benadryl with product code 52904-960 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Select Corporation on September 01, 2008 and its listing in the NDC Directory is set to expire on December 31, 2023 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 52904-960-04?

    The 11-digit format is 52904096004. 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 5-3-2 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
    5-3-252904-960-045-4-252904-0960-04