Cvs Nighttime
NDC Package 69842-496-12

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.

Cvs Nighttime is take only one dose (30 mL) per day (24 hours)Only use dose cup providedadults & children 12 yrs & over30 mL at bedtimechildren under 12 yrsdo not use. Marketed by Cvs Pharmacy, this product is identified by NDC 69842-496 and is authorized under FDA application part343.

Identification & Billing

NDC Package Code
69842-496-12
Package Description
354 mL in 1 BOTTLE
Product Code
69842-496
11-Digit Billing Format
69842049612
RxNorm Crosswalk
  • RxCUI: 1092373 - acetaminophen 500 MG / diphenhydrAMINE HCl 25 MG in 15 mL Oral Solution
  • RxCUI: 1092373 - acetaminophen 33.3 MG/ML / diphenhydramine hydrochloride 1.67 MG/ML Oral Solution
  • RxCUI: 1092373 - acetaminophen 1000 MG / diphenhydramine HCl 50 MG per 30 ML Oral Solution
  • RxCUI: 1092373 - acetaminophen 500 MG / diphenhydramine HCl 25 MG per 15 ML Oral Solution
  • RxCUI: 1092373 - APAP 33.3 MG/ML / Diphenhydramine Hydrochloride 1.67 MG/ML Oral Solution

Clinical Specifications

Proprietary Name
Cvs Nighttime Sleep Aid
Dosage Form
-
Usage Information
Take only one dose (30 mL) per day (24 hours)Only use dose cup providedadults & children 12 yrs & over30 mL at bedtimechildren under 12 yrsdo not use

Regulatory & Marketing

Labeler Name
Cvs Pharmacy
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
11-24-2020
Listing Expiration
12-31-2021
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 69842-496-12 identifies a specific commercial package of 354 ml in 1 bottle of Cvs Nighttime Sleep Aid, labeled by Cvs Pharmacy. 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 on November 24, 2020. The current certification is valid through December 31, 2021.

How is this Cvs Pharmacy product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69842049612. 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)
69842-496-12
11-Digit CMS (5-4-2)
69842-0496-12

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