NDC codes

FDA NDC Directory
Product NDC (as listed)41163-374Labeler and product segments. Claims need a package NDC.
Product NDC at billing width41163-0374Add 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
41163-374-71411630374711 BOTTLE in 1 CARTON (41163-374-71) / 50 TABLET, FILM COATED in 1 BOTTLEMarketed from Sep 3, 2004

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)
Equaline migraine formula
Generic name (nonproprietary)
acetaminophen, aspirin, caffeine
Active ingredients
Acetaminophen250 mg/1Aspirin250 mg/1Caffeine65 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075794
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 41163-374_c4b0d751-ea59-4f3f-a482-f18d0781375fSPL ID c4b0d751-ea59-4f3f-a482-f18d0781375fSPL set ID 28ab87e5-6b7d-4737-95e8-4f842ecd9408RxCUI 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

N441163037471 followed by a unit qualifier and the quantity

Package 41163-0374-71. 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 075794

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

FDA NDC Directory listings under ANDA 075794
ProductStrengthForm · routeLabelerProduct NDC
migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralH E B37808-374
migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralHyVee Inc42507-374
Care One migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralAmerican Sales Company41520-374
DG Health migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralDolgencorp, LLC55910-374
good sense migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralL. Perrigo Company0113-1619
dg health migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralDolgencorp Inc55910-448
Signature Care Migraine Reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralSafeway21130-569
Up and Up Migraine Reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralTarget Corporation11673-374
migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS Pharmacy59779-374
migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralRite Aid Corporation11822-0374
migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-1235
migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralKroger Company30142-896
leader migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralCardinal Health 110, LLC. dba Leader70000-0611
foster and thrive migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralStrategic Sourcing Services LLC70677-1133
migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralAmazon.com Services LLC72288-286
migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralMeijer Distribution Inc41250-374
basic care migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralAmazon.com Services LLC72288-295
good sense migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralProficient Rx LP82804-002
Topcare Migraine Reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralTopco Associates LLC36800-533
Leader Migraine Reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralCardinal Health 110, LLC. dba Leader70000-0247

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