NDC codes

FDA NDC Directory
Product NDC (as listed)0054-0650Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00054-0650Add 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
0054-0650-250005406502500054065025100 CAPSULE in 1 BOTTLE (0054-0650-25)Marketed from May 9, 2022

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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

Generic name (nonproprietary)
butalbital, acetaminophen, caffeine and codeine phosphate
Active ingredients
Butalbital — 50 mg/1Acetaminophen — 300 mg/1Caffeine — 40 mg/1Codeine phosphate — 30 mg/1
Dosage form
Capsule
Route
Oral
Labeler
Hikma Pharmaceuticals USA Inc.NDC labeler code 0054
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 215138
Marketing start
Listing expires
DEA schedule
CIII
Other FDA classes
Barbiturates (Chemical structure)Central Nervous System Stimulation (Physiologic effect)Full Opioid Agonists (Mechanism)Xanthines (Chemical structure)
Identifiers
Product ID 0054-0650_3477a730-97ec-460b-9e7f-0fd5e84c4404SPL ID 3477a730-97ec-460b-9e7f-0fd5e84c4404SPL set ID 6e0e8abc-512b-42f7-8323-434c589edecfRxCUI 993943, 1431286UNII GSL05Y1MN6, 362O9ITL9D, KHS0AZ4JVK, 3G6A5W338EUPC 0300540650254, 0300543000018
Pharmacologic class
Barbiturate; Central Nervous System Stimulant; Methylxanthine; Opioid Agonist

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

N400054065025 followed by a unit qualifier and the quantity

Package 00054-0650-25. 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)

Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate Capsules are indicated for the management of the symptom complex of tension (or muscle contraction) headache when non-opioid analgesic and alternative treatments are inadequate. Limitations of Use • Because of the risks of addiction, abuse, misuse, overdose, and death, which can occur at any dosage or duration, and persist over the course of therapy, [see Warnings and Precautions ( 5.1 )] , reserve opioid analgesics, including Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate Capsules, for use in patients for whom alternative treatment options are ineffective, not tolerated, or would be otherwise inadequate to provide suffic…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0054-0650

What is NDC 0054-0650?
0054-0650 is the product NDC for Butalbital, Acetaminophen, Caffeine and Codeine Phosphate, Butalbital 50 mg/1 + 3 more ingredients capsule, listed with the FDA by Hikma Pharmaceuticals USA Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Butalbital, Acetaminophen, Caffeine and Codeine Phosphate.
What is the active ingredient?
Butalbital, Acetaminophen, Caffeine, Codeine phosphate.
Who is the labeler?
Hikma Pharmaceuticals USA Inc., NDC labeler code 0054. 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 and Codeine Phosphate?
7 other product NDCs are listed under this name. See all Butalbital, Acetaminophen, Caffeine and Codeine Phosphate 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 and Codeine Phosphate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralHikma Pharmaceuticals USA Inc.0054-300000054-3000-01
Butalbital, Acetaminophen, Caffeine, and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralActavis Pharma, Inc.0591-264100591-2641-01
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralBreckenridge Pharmaceutical, Inc.51991-07351991-0073-01
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralBryant Ranch Prepack71335-019471335-0194-0171335-0194-0271335-0194-03+4 more
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralBryant Ranch Prepack72162-159172162-1591-02
Butalbital, Acetaminophen, Caffeine, and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralLGM PHARMA SOLUTIONS, LLC79739-667079739-6670-0179739-6670-05
Butalbital, Acetaminophen, Caffeine, and Codeine PhosphateCodeine phosphate 30 mg/1 + 3 more ingredientsCapsuleOralActavis Pharma, Inc.0591-322000591-3220-01

Other NDCs under ANDA 215138

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

FDA NDC Directory listings under ANDA 215138
ProductStrengthForm · routeLabelerProduct NDC
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralHikma Pharmaceuticals USA Inc.0054-3000

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