Over-the-counter drug · ANDA

signature care ibuprofen (ibuprofen) NDC 21130-877

Ibuprofen 200 mg/1 · Tablet, Film coated · Oral · Safeway

NDC codes

FDA NDC Directory
Product NDC (as listed)21130-877Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0877Add 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
21130-877-78211300877781 BOTTLE in 1 CARTON (21130-877-78) / 100 TABLET, FILM COATED in 1 BOTTLEMarketed from Sep 14, 2015

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)
signature care ibuprofen
Generic name (nonproprietary)
ibuprofen
Active ingredients
Ibuprofen — 200 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Safeway
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077349
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
Identifiers
Product ID 21130-877_87316e1c-bbd4-4a09-ae05-2a4a6cb5f3efSPL ID 87316e1c-bbd4-4a09-ae05-2a4a6cb5f3efSPL set ID 95904b21-752d-48b4-a882-8d81d2384e1fRxCUI 310965UNII 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

N421130087778 followed by a unit qualifier and the quantity

Package 21130-0877-78. 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 • muscular aches • minor pain of arthritis • toothache • backache • the common cold • menstrual cramps • temporarily reduces fever

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 077349

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

FDA NDC Directory listings under ANDA 077349
ProductStrengthForm · routeLabelerProduct NDC
Equate IbuprofenibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralWal-Mart Stores Inc49035-517
CareOne IbuprofenibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralAmerican Sales Company41520-495
Motrin IBibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralMorning Star OTC53209-2001
Motrin IBibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralJones Healthcare Group - Packaging Services, Inc67414-240
Topcare ibuprofenibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralTopco Associates LLC36800-517
Motrin IBibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralKenvue Brands LLC50580-230
leader ibuprofenibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralCardinal Health 110, LLC. dba Leader70000-0003
kirkland signature ibuprofen ibibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralCostco Wholesale Company63981-517
Motrin IB, TRAVEL BASIXibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralLil' Drug Store Products, Inc.66715-6412
Motrin IBibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralSelect Consumer Group LLC85237-1947
Ibuprofen 200mgIbuprofen 200 mg/1Tablet, Film coatedOralAllegiant Health69168-390
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-143
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralCVS Pharmacy59779-517
Motrin IB, CVP HEALTHibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralLil' Drug Store Products, Inc.66715-6512
dg health ibuprofenibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralDolgencorp Inc55910-758
ibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralPublix Super Markets Inc56062-517
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralH E B37808-709
Good Sense ibuprofenibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralL. Perrigo Company0113-0517
Good Neighbor Pharmacy ibuprofenibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralAmerisource Bergen24385-058
Motrin IBibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralLil' Drug Store Products, Inc.66715-9812

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