Over-the-counter drug · ANDA
Pain Reliever (Acetaminophen, ibuprofen) NDC 69842-675
Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 · Tablet, Film coated · Oral · CVS Pharmacy
NDC codes
FDA NDC DirectoryProduct NDC (as listed)69842-675Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0675Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69842-675-23 | 6984206752369842067523 | 1 BOTTLE in 1 CARTON (69842-675-23) / 72 TABLET, FILM COATED in 1 BOTTLEMarketed from Feb 2, 2024 | |
| 69842-675-68 | 6984206756869842067568 | 1 BOTTLE in 1 CARTON (69842-675-68) / 36 TABLET, FILM COATED in 1 BOTTLEMarketed from Feb 2, 2024 |
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)
- Pain Reliever
- Generic name (nonproprietary)
- acetaminophen, ibuprofen
- Active ingredients
- Acetaminophen — 250 mg/1Ibuprofen — 125 mg/1
- Dosage form
- Tablet, Film coated
- Route
- Oral
- Labeler
- CVS PharmacyNDC labeler code 69842
- Product type
- Over-the-counter drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 214836
- Marketing start
- Listing expires
- Other FDA classes
- Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
- Identifiers
- Product ID 69842-675_b5abed1c-42d0-488e-beac-c924444fd6a5SPL ID b5abed1c-42d0-488e-beac-c924444fd6a5SPL set ID 9126e680-d5ff-4189-9f9a-d797822ce670RxCUI 2387532UNII 362O9ITL9D, WK2XYI10QM
- Pharmacologic class
- Nonsteroidal Anti-inflammatory Drug
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
N469842067523followed by a unit qualifier and the quantityPackage 69842-0675-23. 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 • muscular aches • minor pain of arthritis
Excerpt only. Read the full label for complete information.
About NDC 69842-675
- What is NDC 69842-675?
- 69842-675 is the product NDC for Pain Reliever, Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 tablet, film coated, listed with the FDA by CVS Pharmacy. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Pain Reliever (Acetaminophen, Ibuprofen).
- What is the active ingredient?
- Acetaminophen, Ibuprofen.
- Who is the labeler?
- CVS Pharmacy, NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Pain Reliever?
- 37 other product NDCs are listed under this name. See all Pain Reliever NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Pain Reliever products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Pain Relieveracetaminophen | Acetaminophen 500 mg/1 | Chewable gelOral | Orelli Inc. | 87780-236 | 87780-0236-50 |
| Pain Relieveracetaminophen | Acetaminophen 500 mg/1 | Chewable gelOral | P & L Development, LLC | 59726-113 | 59726-0113-05 |
| Pain Relieveracetaminophen | Acetaminophen 500 mg/1 | Chewable gelOral | Walgreens | 0363-9235 | 00363-9235-05 |
| Pain Relieveracetaminophen | Acetaminophen 500 mg/1 | Tablet, Film coatedOral | WALGREENS | 0363-6779 | 00363-6779-0100363-6779-42 |
| Pain Relieveracetaminophen | Acetaminophen 500 mg/1 | TabletOral | WALGREENS | 0363-1137 | 00363-1137-5300363-1137-74 |
| Pain Relieveracetaminophen | Acetaminophen 500 mg/1 | TabletOral | Shield Pharmaceuticals Corp | 83059-0103 | 83059-0103-05 |
| Pain Relieveracetaminophen | Acetaminophen 500 mg/1 | Tablet, Film coatedOral | Health Pharma USA LLC | 71679-304 | 71679-0304-00 |
| Pain Relieveracetaminophen | Acetaminophen 500 mg/1 | Tablet, Film coatedOral | HHH Pharmaceuticals | 83586-107 | 83586-0107-01 |
| Pain Relieveracetaminophen capsules 500mg (minis-red opaque) | Acetaminophen 500 mg/1 | Capsule, Liquid filledOral | Walgreens | 0363-6684 | 00363-6684-50 |
| Pain Relieveraspirin 81 mg | Aspirin 81 mg/1 | Tablet, Delayed releaseOral | Health Pharma USA, LLC | 71679-104 | — |
Other NDCs under ANDA 214836
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| dual actionacetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Rite Aid Corporation | 11822-5777 |
| dual pain relieveracetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Walgreen Company | 0363-5220 |
| dual pain relieveracetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Meijer, Inc. | 79481-0503 |
| equate dual pain relieveracetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | WALMART INC. | 79903-243 |
| foster and thrive dual actionacetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Strategic Sourcing Services LLC | 70677-1274 |
| DG health dual pain relieveracetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Dolgencorp Inc | 55910-441 |
| dg health dual back pain relieveracetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Dolgencorp Inc | 55910-508 |
| Motrin Dual Action With Tylenolacetaminophen and ibuprofen | Ibuprofen 125 mg/1; Acetaminophen 250 mg/1 | Tablet, Film coatedOral | Kenvue Brands LLC | 50580-208 |
| equate dual back pain relieveracetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | WALMART INC. | 79903-326 |
| good sense dual actionacetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Sportpharm LLC | 85766-044 |
| topcare dual actionacetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Topco Associates LLC | 76162-501 |
| Topcare Dual Action Back Painacetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Topco Associates LLC | 76162-520 |
| Basic Care Dual Actionacetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Amazon.com Services LLC | 72288-530 |
| Dual Actionacetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Amazon.com Services LLC | 72288-542 |
| Careone Dual Actionacetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Retail Business Services, LLC | 72476-231 |
| Dual Actionacetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | HyVee Inc | 42507-540 |
| Dual Back Pain Relieveracetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Walgreen Company | 0363-6199 |
| acetaminophen and ibuprofenacetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Kroger Company | 30142-720 |
| dual actionacetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Publix Super Markets Inc | 56062-530 |
| Leader Dual Action Pain Relieveracetaminophen, ibuprofen | Acetaminophen 250 mg/1; Ibuprofen 125 mg/1 | Tablet, Film coatedOral | Cardinal Health 110, LLC. dba Leader | 70000-0737 |
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