NDC codes

FDA NDC Directory
Product NDC (as listed)69517-111Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69517-0111Add 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
69517-111-0269517011102695170111022 POUCH in 1 POUCH (69517-111-02) / 2 TABLET, COATED in 1 POUCHMarketed from Apr 6, 2016
69517-111-1069517011110695170111101000 BOTTLE in 1 BOTTLE (69517-111-10) / 500 BOTTLE in 1 BOTTLE (69517-111-05) / 30 CARTON in 1 BOTTLE (69517-111-30) / 1 TABLET, COATED in 1 CARTONMarketed from Apr 6, 2016
69517-111-25695170111256951701112525 POUCH in 1 CARTON (69517-111-25) / 2 TABLET, COATED in 1 POUCHMarketed from Apr 6, 2016
69517-111-50695170111506951701115050 POUCH in 1 CARTON (69517-111-50) / 2 TABLET, COATED in 1 POUCHMarketed from Apr 6, 2016

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)
Fast Pain Relief
Generic name (nonproprietary)
ibuprofen
Active ingredients
Ibuprofen — 200 mg/1
Dosage form
Tablet, Coated
Route
Oral
Labeler
HealthLife of USA LLCNDC labeler code 69517
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 079174
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
Identifiers
Product ID 69517-111_8e733e89-3460-49b9-a157-4f2f91bb14ccSPL ID 8e733e89-3460-49b9-a157-4f2f91bb14ccSPL set ID a3fcd34a-6aa9-477c-bbfb-2f6b36e06b65RxCUI 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

N469517011102 followed by a unit qualifier and the quantity

Package 69517-0111-02. 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 toothache backache menstrual cramps the common cold muscular aches minor pain of arthritis temporarily reduces fever

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69517-111

What is NDC 69517-111?
69517-111 is the product NDC for Fast Pain Relief (ibuprofen), Ibuprofen 200 mg/1 tablet, coated, listed with the FDA by HealthLife of USA LLC. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Fast Pain Relief (Ibuprofen).
What is the active ingredient?
Ibuprofen.
Who is the labeler?
HealthLife of USA LLC, NDC labeler code 69517. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Fast Pain Relief?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under ANDA 079174

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

FDA NDC Directory listings under ANDA 079174
ProductStrengthForm · routeLabelerProduct NDC
Dover AddaprinibuprofenIbuprofen 200 mg/1Tablet, CoatedOralUnifirst First Aid Corporation47682-714
IbuprofenIbuprofen 200 mg/1TabletOralBETTER LIVING BRANDS LLC.21130-396
Medique IprinibuprofenIbuprofen 200 mg/1Tablet, CoatedOralUnifirst First Aid Corporation47682-700
Medi-First Plus IbuprofenibuprofenIbuprofen 200 mg/1Tablet, CoatedOralUnifirst First Aid Corporation47682-709
Pain Relief - Ibuprofen 200 mgibuprofenIbuprofen 200 mg/1Tablet, CoatedOralHealth Pharma USA LLC71679-111
Green Guard Ibuprofen ReliefibuprofenIbuprofen 200 mg/1Tablet, CoatedOralUnifirst First Aid47682-710
Medi-First IbuprofenibuprofenIbuprofen 200 mg/1Tablet, CoatedOralUnifirst First Aid Corporation47682-718
IbuprofenIbuprofen 200 mg/1Tablet, CoatedOralMarc Glassman, Inc.68998-109
IbuprofenIbuprofen 200 mg/1Tablet, CoatedOralMarc Glassman, Inc.68998-110
IbuprofenIbuprofen 200 mg/1TabletOralGranules USA, Inc.69848-011
IbuprofenIbuprofen 200 mg/1TabletOralGranules USA, Inc.69848-012
Direct Safety IbuprofenibuprofenIbuprofen 200 mg/1Tablet, CoatedOralConney Safety Products, LLC61245-084
Lil Drug Store IbuprofenibuprofenIbuprofen 200 mg/1TabletOralLil Drug Store Products, Inc66715-6839
Medique at Home IprinibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralUnifirst First Aid Corporation47682-783
Physicians Care Ibuprofenibuprofen 200mgIbuprofen 200 mg/1Tablet, Film coatedOralAcme United Corporation0924-0076
IbuprofenIbuprofen 200 mg/1Tablet, CoatedOralAMERIFOODS TRADING COMPANY61504-109
IbuprofenIbuprofen 200 mg/1TabletOralRETAIL BUSINESS SERVICES,LLC.72476-365
IbuprofenIbuprofen 200 mg/1Tablet, CoatedOralAMERIFOODS TRADING COMPANY61504-110
IbuprofenIbuprofen 200 mg/1TabletOralRetail Business Services, LLC72476-366
Ibuwin ForteibuprofenIbuprofen 200 mg/1TabletOralOPMX LLC69729-157

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