Over-the-counter drug · ANDA

dual action (Acetaminophen, ibuprofen) NDC 11822-5777

Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 · Tablet, Film coated · Oral · Rite Aid Corporation

NDC codes

FDA NDC Directory
Product NDC (as listed)11822-5777Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-5777Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
11822-5777-011822577700118225777001 BOTTLE in 1 CARTON (11822-5777-0) / 36 TABLET, FILM COATED in 1 BOTTLEMarketed from May 24, 2023
11822-5777-111822577701118225777011 BOTTLE in 1 CARTON (11822-5777-1) / 72 TABLET, FILM COATED in 1 BOTTLEMarketed from May 24, 2023
11822-5777-211822577702118225777021 BOTTLE in 1 CARTON (11822-5777-2) / 18 TABLET, FILM COATED in 1 BOTTLEMarketed from May 24, 2023

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
dual action
Generic name (nonproprietary)
acetaminophen, ibuprofen
Active ingredients
Acetaminophen — 250 mg/1Ibuprofen — 125 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Rite Aid CorporationNDC labeler code 11822
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214836
Marketing start
Marketing end
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
Identifiers
Product ID 11822-5777_1adf40ea-9fec-4e6a-a2dc-eaf5c35dd1d3SPL ID 1adf40ea-9fec-4e6a-a2dc-eaf5c35dd1d3SPL set ID 54b08d24-d5e9-4111-9d97-329896e8309dRxCUI 2387532UNII 362O9ITL9D, WK2XYI10QM

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N411822577700 followed by a unit qualifier and the quantity

Package 11822-5777-00. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Uses • temporarily relieves minor aches and pains due to: • headache • toothache • backache • menstrual cramps • muscular aches • minor pain of arthritis

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11822-5777

What is NDC 11822-5777?
11822-5777 is the product NDC for dual action, Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 tablet, film coated, listed with the FDA by Rite Aid Corporation. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
dual action (Acetaminophen, Ibuprofen).
What is the active ingredient?
Acetaminophen, Ibuprofen.
Who is the labeler?
Rite Aid Corporation, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for dual action?
6 other product NDCs are listed under this name. See all dual action NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other dual action NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-54272288-0542-01
Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralHyVee Inc42507-54042507-0540-23
dual actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralPublix Super Markets Inc56062-53056062-0530-2356062-0530-68
Dual Actionacetaminophen and ibuprofen (nsaid) tablets, 250 mg/ 125 mgIbuprofen 125 mg/1; Acetaminophen 250 mg/1Tablet, Film coatedOralDr. Reddy's Laboratories Inc75907-15875907-0158-1475907-0158-25
Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1TabletOralBETTER LIVING BRANDS, LLC21130-71621130-0716-0821130-0716-75
Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1TabletOralKROGER COMPANY41226-71641226-0716-49

Other NDCs under ANDA 214836

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 214836
ProductStrengthForm · routeLabelerProduct NDC
dual pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralWalgreen Company0363-5220
dual pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralMeijer, Inc.79481-0503
equate dual pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralWALMART INC.79903-243
foster and thrive dual actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralStrategic Sourcing Services LLC70677-1274
DG health dual pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralDolgencorp Inc55910-441
dg health dual back pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralDolgencorp Inc55910-508
Motrin Dual Action With Tylenolacetaminophen and ibuprofenIbuprofen 125 mg/1; Acetaminophen 250 mg/1Tablet, Film coatedOralKenvue Brands LLC50580-208
equate dual back pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralWALMART INC.79903-326
good sense dual actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralSportpharm LLC85766-044
topcare dual actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralTopco Associates LLC76162-501
Topcare Dual Action Back Painacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralTopco Associates LLC76162-520
Basic Care Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-530
Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-542
Careone Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralRetail Business Services, LLC72476-231
Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralHyVee Inc42507-540
Dual Back Pain Relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralWalgreen Company0363-6199
acetaminophen and ibuprofenacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralKroger Company30142-720
dual actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralPublix Super Markets Inc56062-530
Leader Dual Action Pain Relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralCardinal Health 110, LLC. dba Leader70000-0737
equate pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralWALMART INC.79903-148

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