Over-the-counter drug · ANDA
Acetaminophen, Aspirin and Caffeine NDC 21130-681
Acetaminophen 250 mg/1 + 2 more ingredients · Tablet · Oral · Safeway, Inc
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21130-681-05 | 21130068105 | 50 TABLET in 1 BOTTLE (21130-681-05)Marketed from Aug 4, 2023 | |
| 21130-681-10 | 21130068110 | 100 TABLET in 1 BOTTLE (21130-681-10)Marketed from Aug 4, 2023 | |
| 21130-681-24 | 21130068124 | 24 TABLET in 1 BOTTLE (21130-681-24)Marketed from Aug 4, 2023 |
How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
- Acetaminophen, Aspirin and Caffeine
- Generic name (nonproprietary)
- acetaminophen, aspirin and caffeine
- Active ingredients
- Acetaminophen — 250 mg/1Aspirin — 250 mg/1Caffeine — 65 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- Safeway, Inc
- Product type
- Over-the-counter drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 214039
- Marketing start
- Listing expires
- Other FDA classes
- Non-Steroidal (Chemical structure)Central Nervous System Stimulation (Physiologic effect)Cyclooxygenase Inhibitors (Mechanism)Decreased Platelet Aggregation (Physiologic effect)Decreased Prostaglandin Production (Physiologic effect)Xanthines (Chemical structure)
- Identifiers
- Product ID 21130-681_4650e0c3-7d66-2a07-e063-6294a90ad828SPL ID 4650e0c3-7d66-2a07-e063-6294a90ad828SPL set ID f2a2cbb5-5a63-7514-e053-2995a90a572cRxCUI 308297UNII 362O9ITL9D, R16CO5Y76E, 3G6A5W338E
- Pharmacologic class
- Central Nervous System Stimulant; Methylxanthine; Nonsteroidal Anti-inflammatory Drug; Platelet Aggregation Inhibitor
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
N421130068105followed by a unit qualifier and the quantityPackage 21130-0681-05. 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)
Use • treats migraine
Excerpt only. Read the full label for complete information.
Other NDCs under ANDA 214039
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | AAA PHARMACEUTICAL, INC. | 57344-205 |
| Acetaminophen, Aspirin and Caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Granules India Ltd | 62207-680 |
| Migraine Reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Family Dollar (FAMILY WELLNESS) | 55319-970 |
| Acetaminophen, Aspirin and Caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Safrel Pharmaceuticals, LLC. | 71309-079 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | FSA STORE INC. | 81522-205 |
| Publix Super Markets Incacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | PUBLIX SUPER MARKETS INC | 56062-305 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | HARRIS TEETER | 72036-305 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | CHAIN DRUG MARKETING ASSOCIATION, INC. | 83324-099 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | DISCOUNT DRUG MART | 53943-305 |
| Acetaminophen Aspirin Caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | CVS PHARMACY, INC | 69842-680 |
| Acetaminophen, Aspirin and Caffeine | Aspirin 250 mg/1 + 2 more ingredients | TabletOral | FAMILY DOLLAR | 55319-680 |
| Acetaminophen Aspirin Caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | WALGREEN CO | 0363-9680 |
- openFDA data updated
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Reference information only. Verify codes and billing rules against the applicable payer and official source before submitting a claim. How Med-Code handles data.