NDC codes

FDA NDC Directory
Product NDC (as listed)21130-681Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0681Add 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
21130-681-052113006810550 TABLET in 1 BOTTLE (21130-681-05)Marketed from Aug 4, 2023
21130-681-1021130068110100 TABLET in 1 BOTTLE (21130-681-10)Marketed from Aug 4, 2023
21130-681-242113006812424 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
Acetaminophen250 mg/1Aspirin250 mg/1Caffeine65 mg/1
Dosage form
Tablet
Route
Oral
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

N421130068105 followed by a unit qualifier and the quantity

Package 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.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 214039

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

FDA NDC Directory listings under ANDA 214039
ProductStrengthForm · routeLabelerProduct NDC
Migraine Reliefacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralAAA PHARMACEUTICAL, INC.57344-205
Acetaminophen, Aspirin and CaffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralGranules India Ltd62207-680
Migraine Reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralFamily Dollar (FAMILY WELLNESS)55319-970
Acetaminophen, Aspirin and CaffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralSafrel Pharmaceuticals, LLC.71309-079
Migraine Reliefacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralFSA STORE INC.81522-205
Publix Super Markets Incacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralPUBLIX SUPER MARKETS INC56062-305
Migraine Reliefacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralHARRIS TEETER72036-305
Migraine Reliefacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralCHAIN DRUG MARKETING ASSOCIATION, INC.83324-099
Migraine Reliefacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralDISCOUNT DRUG MART53943-305
Acetaminophen Aspirin CaffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralCVS PHARMACY, INC69842-680
Acetaminophen, Aspirin and CaffeineAspirin 250 mg/1 + 2 more ingredientsTabletOralFAMILY DOLLAR55319-680
Acetaminophen Aspirin CaffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralWALGREEN CO0363-9680

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