Allergy Relief Tablet
NDC Package 72090-021-26

11-digit billing NDC: 72090002126
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Allergy Relief (diphenhydramine hcl 25 mg) tablets is ■ Take every 4 to 6 hours, or as directed by a doctor■ do not take more than 6 times in 24 hours.■ Adults and children 12 years and over: 1 to 2 tablets■ Children 6 years to under 12 years: 1 tablet■ Children under 6 years: Do not use. This formulation utilizes a tablet delivery system. Marketed by Pioneer Life Sciences, Llc, this product is identified by NDC 72090-021 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
72090-021-26
Package Description
1 BOTTLE in 1 CARTON / 24 TABLET in 1 BOTTLE
Product Code
72090-021
11-Digit Billing Format
72090002126
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Allergy Relief
Non-Proprietary Name
Diphenhydramine Hcl 25 Mg
Substance Name
Diphenhydramine Hydrochloride
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
  • Oral - Administration to or by way of the mouth.
  • Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
■ Take every 4 to 6 hours, or as directed by a doctor■ do not take more than 6 times in 24 hours.■ Adults and children 12 years and over: 1 to 2 tablets■ Children 6 years to under 12 years: 1 tablet■ Children under 6 years: Do not use

Regulatory & Marketing

Labeler Name
Pioneer Life Sciences, Llc
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-29-2020
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 (72090-021). Click a package code to view its specific billing and regulatory data.

72090-021-10
1000 TABLET in 1 BOTTLE
72090-021-24
24 TABLET in 1 BOTTLE
72090-021-25
250 TABLET in 1 BOTTLE
72090-021-60
600 TABLET in 1 BOTTLE

* 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 72090-021-26 identifies a specific commercial package of 1 bottle in 1 carton / 24 tablet in 1 bottle of Allergy Relief, a human over the counter drug labeled by Pioneer Life Sciences, Llc. This tablet 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 Pioneer Life Sciences, Llc on June 29, 2020. The current certification is valid through December 31, 2026.

How is this Pioneer Life Sciences, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72090002126. 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)
72090-021-26
11-Digit CMS (5-4-2)
72090-0021-26

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