NDC codes

FDA NDC Directory
Product NDC (as listed)50268-553Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50268-0553Add 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
50268-553-135026805531330 BLISTER PACK in 1 BOX (50268-553-13) / 1 TABLET in 1 BLISTER PACK (50268-553-11)Marketed from Aug 11, 2022

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)
Butalbital, Acetaminophen, Caffeine
Generic name (nonproprietary)
butalbital, acetaminophen, and caffeine
Active ingredients
Butalbital50 mg/1Acetaminophen325 mg/1Caffeine40 mg/1
Dosage form
Tablet
Route
Oral
Labeler
AvPAK
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209587
Marketing start
Listing expires
DEA schedule
CIII
Other FDA classes
Barbiturates (Chemical structure)Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
Identifiers
Product ID 50268-553_2b4a7d93-e919-27be-e063-6294a90a1db0SPL ID 2b4a7d93-e919-27be-e063-6294a90a1db0SPL set ID e5fbd6b8-85e7-8847-e053-2a95a90a52edRxCUI 238154UNII KHS0AZ4JVK, 362O9ITL9D, 3G6A5W338E
Pharmacologic class
Barbiturate; Central Nervous System Stimulant; Methylxanthine

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

N450268055313 followed by a unit qualifier and the quantity

Package 50268-0553-13. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Butalbital, acetaminophen and caffeine tablets are indicated for the relief of the symptom complex of tension (or muscle contraction) headache. Evidence supporting the efficacy and safety of this combination product in the treatment of multiple recurrent headaches is unavailable. Caution in this regard is required because butalbital is habit-forming and potentially abusable.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209587

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

FDA NDC Directory listings under ANDA 209587
ProductStrengthForm · routeLabelerProduct NDC
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralA-S Medication Solutions50090-7042
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralREMEDYREPACK INC.70518-4309
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralProficient Rx LP71205-981
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralAdvanced Rx of Tennessee, LLC80425-0570
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralAsclemed USA, Inc.76420-802
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralPreferred Pharmaceuticals Inc.68788-8137
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralProficient Rx LP71205-510
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralWestminster Pharmaceuticals, LLC69367-203
Butalbital, Acetaminophen, and CaffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralLGM PHARMA SOLUTIONS, LLC79739-7320
Butal/Apap/CaffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralDirect_Rx72189-600
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralHAWAII REPACK, INC.85534-0046
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralBryant Ranch Prepack71335-1764
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralBryant Ranch Prepack71335-1767

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