Allergy Capsule
NDC Package 53943-113-01

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

Allergy (diphenhydramine hydrochloride) capsules is take every 4 to 6 hoursdo not exceed 6 doses in 24 hoursadults and children 12 years of age and over25 mg to 50 mg (1 to 2 capsules)children 6 to under 12 years of age12.5 mg 12.5 mg dosage strength is not available in this package. This formulation utilizes a capsule delivery system. Marketed by Discount Drug Mart, this product is identified by NDC 53943-113 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
53943-113-01
Package Description
2 BLISTER PACK in 1 CARTON / 12 CAPSULE in 1 BLISTER PACK
Product Code
53943-113
11-Digit Billing Format
53943011301
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Allergy
Non-Proprietary Name
Diphenhydramine Hydrochloride
Substance Name
Diphenhydramine Hydrochloride
Dosage Form
Capsule - A solid oral dosage form consisting of a shell and a filling. The shell is composed of a single sealed enclosure, or two halves that fit together and which are sometimes sealed with a band. Capsule shells may be made from gelatin, starch, or cellulose, or other suitable materials, may be soft or hard, and are filled with solid or liquid ingredients that can be poured or squeezed.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
DIPHENHYDRAMINE HYDROCHLORIDE 25 mg/1
Pharmacologic Class
Usage Information
Take every 4 to 6 hoursdo not exceed 6 doses in 24 hoursadults and children 12 years of age and over25 mg to 50 mg (1 to 2 capsules)children 6 to under 12 years of age12.5 mg 12.5 mg dosage strength is not available in this package. Do not attempt to break capsules. to 25 mg (1 capsule) children under 6 years of ageask a doctor

Regulatory & Marketing

Labeler Name
Discount Drug Mart
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
11-30-2007
Listing Expiration
12-31-2026
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 (53943-113). Click a package code to view its specific billing and regulatory data.

53943-113-03
1 BOTTLE, PLASTIC in 1 CARTON / 100 CAPSULE 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 53943-113-01 identifies a specific commercial package of 2 blister pack in 1 carton / 12 capsule in 1 blister pack of Allergy, a human over the counter drug labeled by Discount Drug Mart. This capsule is formulated for oral use and contains 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 Discount Drug Mart on November 30, 2007. The current certification is valid through December 31, 2026.

How is this Discount Drug Mart product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 53943011301. 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)
53943-113-01
11-Digit CMS (5-4-2)
53943-0113-01

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