Butalbital, Aspirin, and Caffeine NDC 79739-7192

NDC codes

FDA NDC Directory

Product NDC (as listed)79739-7192Labeler and product segments. Claims need a package NDC.

Product NDC at billing width79739-7192Add 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 NDC	11-digit (billing)	Package	Copy
79739-7192-1	79739719201	100 CAPSULE in 1 BOTTLE (79739-7192-1)Marketed from Oct 18, 2021
79739-7192-5	79739719205	500 CAPSULE in 1 BOTTLE (79739-7192-5)Marketed from Oct 18, 2021

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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, Aspirin, and Caffeine
Generic name (nonproprietary): butalbital, aspirin, and caffeine
Active ingredients: Butalbital — 50 mg/1Aspirin — 500 mg/1Caffeine — 40 mg/1
Dosage form: Capsule
Route: Oral
Labeler: LGM PHARMA SOLUTIONS, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 205230
Marketing start: Oct 18, 2021
Listing expires: Dec 31, 2026
DEA schedule: CIII
Other FDA classes: Non-Steroidal (Chemical structure)Barbiturates (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 79739-7192_1383f9e3-02c6-4363-920c-8e24e51f22e0SPL ID 1383f9e3-02c6-4363-920c-8e24e51f22e0SPL set ID a1c7b964-af71-4427-8f13-73b5e69ca525RxCUI 2583731UNII KHS0AZ4JVK, R16CO5Y76E, 3G6A5W338E
Pharmacologic class: Barbiturate; 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

N479739719201 followed by a unit qualifier and the quantity

Package 79739-7192-01. 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 Jun 21, 2024.

Full label on DailyMed (opens in a new tab)