NDC codes

FDA NDC Directory
Product NDC (as listed)76420-802Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76420-0802Add 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
76420-802-017642008020176420080201100 TABLET in 1 BOTTLE (76420-802-01)Marketed from Apr 29, 2024
76420-802-057642008020576420080205500 TABLET in 1 BOTTLE (76420-802-05)Marketed from Apr 29, 2024
76420-802-10764200802107642008021010 TABLET in 1 BOTTLE (76420-802-10)Marketed from Apr 29, 2024
76420-802-12764200802127642008021212 TABLET in 1 BOTTLE (76420-802-12)Marketed from Apr 29, 2024
76420-802-20764200802207642008022020 TABLET in 1 BOTTLE (76420-802-20)Marketed from Apr 29, 2024
76420-802-30764200802307642008023030 TABLET in 1 BOTTLE (76420-802-30)Marketed from Apr 29, 2024
76420-802-60764200802607642008026060 TABLET in 1 BOTTLE (76420-802-60)Marketed from Apr 29, 2024
76420-802-90764200802907642008029090 TABLET in 1 BOTTLE (76420-802-90)Marketed from Apr 29, 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)
Butalbital, Acetaminophen, Caffeine
Generic name (nonproprietary)
butalbital, acetaminophen, and caffeine
Active ingredients
Butalbital — 50 mg/1Acetaminophen — 325 mg/1Caffeine — 40 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Asclemed USA, Inc.NDC labeler code 76420
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 76420-802_44818491-48a2-ba4d-e063-6394a90a65f9SPL ID 44818491-48a2-ba4d-e063-6394a90a65f9SPL set ID cce09e09-158f-4927-8a3e-4ec9334f0b7aRxCUI 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

N476420080201 followed by a unit qualifier and the quantity

Package 76420-0802-01. 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)

About NDC 76420-802

What is NDC 76420-802?
76420-802 is the product NDC for Butalbital, Acetaminophen, Caffeine, Butalbital 50 mg/1 + 2 more ingredients tablet, listed with the FDA by Asclemed USA, Inc.. It has 8 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Butalbital, Acetaminophen, Caffeine (Butalbital, Acetaminophen, and Caffeine).
What is the active ingredient?
Butalbital, Acetaminophen, Caffeine.
Who is the labeler?
Asclemed USA, Inc., NDC labeler code 76420. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Butalbital, Acetaminophen, Caffeine?
12 other product NDCs are listed under this name. See all Butalbital, Acetaminophen, Caffeine NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Butalbital, Acetaminophen, Caffeine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralAdvanced Rx of Tennessee, LLC80425-057080425-0570-0180425-0570-0280425-0570-03
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralREMEDYREPACK INC.70518-430970518-4309-0070518-4309-01
Butalbital/Acetaminophen/CaffeineButalbital 50 mg/1 + 2 more ingredientsCapsuleOralAdvanced Rx Pharmacy of Tennessee, LLC80425-021580425-0215-01
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralAvPAK50268-55350268-0553-13
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralPreferred Pharmaceuticals Inc.68788-813768788-8137-0268788-8137-03
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralA-S Medication Solutions50090-704250090-7042-0050090-7042-03
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralWestminster Pharmaceuticals, LLC69367-20369367-0203-0169367-0203-05
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralProficient Rx LP71205-51071205-0510-1471205-0510-3071205-0510-60+1 more
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralProficient Rx LP71205-98171205-0981-0071205-0981-3071205-0981-55+3 more
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralBryant Ranch Prepack71335-176471335-1764-0071335-1764-0171335-1764-02+7 more

All 13 Butalbital, Acetaminophen, Caffeine NDCs

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
Butal/Apap/CaffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralDirect_Rx72189-600
Butalbital, Acetaminophen, and CaffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralLGM PHARMA SOLUTIONS, LLC79739-7320
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 ingredientsTabletOralAvPAK50268-553
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 ingredientsTabletOralWestminster Pharmaceuticals, LLC69367-203
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 LP71205-510
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 ingredientsTabletOralBryant Ranch Prepack71335-1764
Butalbital, Acetaminophen, Caffeinebutalbital, acetaminophen, and caffeineButalbital 50 mg/1 + 2 more ingredientsTabletOralBryant Ranch Prepack71335-1767
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 ingredientsTabletOralHAWAII REPACK, INC.85534-0046

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