Acetaminophen Pm Tablet, Film Coated
NDC Package 73057-352-03

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

Package Information

Acetaminophen Pm (acetaminophen 500mg / diphenhydramine hcl 25mg) tablets is do not take more than directed (see overdose warning)adults and children 12 years and overtake 2 caplets at bedtimedo not take more than 2 caplets of this product in 24 hourschildren under 12 yearsdo not use. This formulation utilizes a tablet, film coated delivery system. Marketed by Ulai Health Llc, this product is identified by NDC 73057-352 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
73057-352-03
Package Description
24 TABLET, FILM COATED in 1 BOTTLE, PLASTIC
Product Code
73057-352
11-Digit Billing Format
73057035203
RxNorm Crosswalk
  • 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

Proprietary Name
Acetaminophen Pm
Non-Proprietary Name
Acetaminophen 500mg / Diphenhydramine Hcl 25mg
Substance Name
Acetaminophen; Diphenhydramine Hydrochloride
Dosage Form
Tablet, Film Coated - A solid dosage form that contains medicinal substances with or without suitable diluents and is coated with a thin layer of a water-insoluble or water-soluble polymer.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Do not take more than directed (see overdose warning)adults and children 12 years and overtake 2 caplets at bedtimedo not take more than 2 caplets of this product in 24 hourschildren under 12 yearsdo not use

Regulatory & Marketing

Labeler Name
Ulai Health Llc
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-08-2019
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 73057-352-03 identifies a specific commercial package of 24 tablet, film coated in 1 bottle, plastic of Acetaminophen Pm, a human over the counter drug labeled by Ulai Health Llc. This tablet, film coated 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 Ulai Health Llc on July 08, 2019. The current certification is valid through December 31, 2026.

How is this Ulai Health Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 73057035203. 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)
73057-352-03
11-Digit CMS (5-4-2)
73057-0352-03

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