Pain Relief Pm Tablet
NDC Package 69168-393-99
Package Information
Pain Relief Pm (acetaminophen 500 mg and diphenhydramine hcl 25 mg) tablets is do not take more than directed (see overdose warning)adults and children 12 years and over: take 2 caplets at bedtime. This formulation utilizes a tablet delivery system. Marketed by Allegiant Health, this product is identified by NDC 69168-393 and is authorized under FDA application M013.
Identification & Billing
- 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
Regulatory & Marketing
Hierarchy Structure
- 69168 - Allegiant Health
- 69168-393 - Pain Relief Pm
- 69168-393-99 - 365 TABLET in 1 BOTTLE
- 69168-393 - Pain Relief Pm
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 (69168-393). Click a package code to view its specific billing and regulatory data.
* 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 69168-393-99 identifies a specific commercial package of 365 tablet in 1 bottle of Pain Relief Pm Extra Strength, a human over the counter drug labeled by Allegiant Health. This tablet 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 Allegiant Health on December 23, 2014. The current certification is valid through December 31, 2026.
How is this Allegiant Health product billed for insurance claims?
For medical billing and reimbursement, this package follows the 11-digit CMS format: 69168039399. 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:
Note: The zero is added to the Product segment to maintain the 5-4-2 structure.
