Nighttime Sleep Aid Tablet, Coated
NDC Package 63941-091-01

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

Package Information

Nighttime Sleep Aid (diphenhydramine hydrochloride) tablets is adults and children 12 years of age and overtake 2 caplets at bedtime if needed, or as directed by a doctorchildren under 12 years of agedo not use. This formulation utilizes a tablet, coated delivery system. Marketed by Valu Merchandisers Company, this product is identified by NDC 63941-091 and is authorized under FDA application M010.

Identification & Billing

NDC Package Code
63941-091-01
Package Description
4 BLISTER PACK in 1 CARTON / 6 TABLET, COATED in 1 BLISTER PACK
Product Code
63941-091
11-Digit Billing Format
63941009101
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Nighttime Sleep Aid
Non-Proprietary Name
Diphenhydramine Hydrochloride
Substance Name
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)
DIPHENHYDRAMINE HYDROCHLORIDE 25 mg/1
Pharmacologic Class
Usage Information
Adults and children 12 years of age and overtake 2 caplets at bedtime if needed, or as directed by a doctorchildren under 12 years of agedo not use

Regulatory & Marketing

Labeler Name
Valu Merchandisers Company
Product Type
Human Otc Drug
FDA Application #
M010
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-25-2010
End Marketing Date
09-30-2027
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 63941-091-01 identifies a specific commercial package of 4 blister pack in 1 carton / 6 tablet, coated in 1 blister pack of Nighttime Sleep Aid, a human over the counter drug labeled by Valu Merchandisers Company. This tablet, coated 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 Valu Merchandisers Company on February 25, 2010.

How is this Valu Merchandisers Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63941009101. 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)
63941-091-01
11-Digit CMS (5-4-2)
63941-0091-01

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