NDC codes

FDA NDC Directory
Product NDC (as listed)11822-5777Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-5777Add 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
11822-5777-0118225777001 BOTTLE in 1 CARTON (11822-5777-0) / 36 TABLET, FILM COATED in 1 BOTTLEMarketed from May 24, 2023
11822-5777-1118225777011 BOTTLE in 1 CARTON (11822-5777-1) / 72 TABLET, FILM COATED in 1 BOTTLEMarketed from May 24, 2023
11822-5777-2118225777021 BOTTLE in 1 CARTON (11822-5777-2) / 18 TABLET, FILM COATED in 1 BOTTLEMarketed from May 24, 2023

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)
dual action
Generic name (nonproprietary)
acetaminophen, ibuprofen
Active ingredients
Acetaminophen — 250 mg/1Ibuprofen — 125 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214836
Marketing start
Marketing end
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
Identifiers
Product ID 11822-5777_1adf40ea-9fec-4e6a-a2dc-eaf5c35dd1d3SPL ID 1adf40ea-9fec-4e6a-a2dc-eaf5c35dd1d3SPL set ID 54b08d24-d5e9-4111-9d97-329896e8309dRxCUI 2387532UNII 362O9ITL9D, 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

N411822577700 followed by a unit qualifier and the quantity

Package 11822-5777-00. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 214836

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

FDA NDC Directory listings under ANDA 214836
ProductStrengthForm · routeLabelerProduct NDC
Basic Care Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-530
Leader Dual Action Pain Relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralCardinal Health 110, LLC. dba Leader70000-0737
Pain Relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralCVS Pharmacy69842-675
dual pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralMeijer, Inc.79481-0503
equate dual pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralWALMART INC.79903-243
Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-542
foster and thrive dual actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralStrategic Sourcing Services LLC70677-1274
acetaminophen and ibuprofenacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralKroger Company30142-720
DG health dual pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralDolgencorp Inc55910-441
Dual Back Pain Relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralWalgreen Company0363-6199
Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralHyVee Inc42507-540
equate dual back pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralWALMART INC.79903-326
Careone Dual Actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralRetail Business Services, LLC72476-231
Motrin Dual Action With Tylenolacetaminophen and ibuprofenIbuprofen 125 mg/1; Acetaminophen 250 mg/1Tablet, Film coatedOralKenvue Brands LLC50580-208
dg health dual back pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralDolgencorp Inc55910-508
good sense dual actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralSportpharm LLC85766-044
equaline dual action pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralUnited Natural Foods, Inc. dba UNFI41163-103
topcare dual actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralTopco Associates LLC76162-501
Topcare Dual Action Back Painacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralTopco Associates LLC76162-520
dual pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralWalgreen Company0363-5220

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