Acetaminophen Diphenhydramine Hcl
NDC Package 69842-308-10

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

Package Information

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

Acetaminophen Diphenhydramine Hcl is ■ do not take more than directedadults and children 12 years and over■ take 2 gelcaps every 6 hours while symptoms last■ do not take more than 6 gelcaps in 24 hours, unless directed by a doctor■ do not take more than 10 days unless directed by a doctorchildren under 12 years■ ask a doctor ■ do not take more than directed (see overdose warning)adults and children 12 years and over■ take 2 gelcaps at bedtime■ do not take more than 2 gelcaps of this product in 24 hourschildren under 12 years■ do not use. Marketed by Cvs Pharmacy, Inc, this product is identified by NDC 69842-308 and is authorized under FDA application part343.

Identification & Billing

NDC Package Code
69842-308-10
Package Description
100 TABLET in 1 BOTTLE
Product Code
69842-308
11-Digit Billing Format
69842030810

Clinical Specifications

Proprietary Name
Acetaminophen Diphenhydramine Hcl
Dosage Form
-
Usage Information
■ do not take more than directedadults and children 12 years and over■ take 2 gelcaps every 6 hours while symptoms last■ do not take more than 6 gelcaps in 24 hours, unless directed by a doctor■ do not take more than 10 days unless directed by a doctorchildren under 12 years■ ask a doctor ■ do not take more than directed (see overdose warning)adults and children 12 years and over■ take 2 gelcaps at bedtime■ do not take more than 2 gelcaps of this product in 24 hourschildren under 12 years■ do not use

Regulatory & Marketing

Labeler Name
Cvs Pharmacy, Inc
FDA Application #
part343
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
01-29-2019
Listing Expiration
12-31-2024
Exclude Flag
I
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 69842-308-10 identifies a specific commercial package of 100 tablet in 1 bottle of Acetaminophen Diphenhydramine Hcl, labeled by Cvs Pharmacy, Inc. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Cvs Pharmacy, Inc on January 29, 2019. The current certification is valid through December 31, 2024.

How is this Cvs Pharmacy, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69842030810. 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)
69842-308-10
11-Digit CMS (5-4-2)
69842-0308-10

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