NDC codes

FDA NDC Directory
Product NDC (as listed)13107-058Labeler and product segments. Claims need a package NDC.
Product NDC at billing width13107-0058Add 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
13107-058-0113107005801100 TABLET in 1 BOTTLE (13107-058-01)Marketed from Apr 15, 2013
13107-058-0513107005805500 TABLET in 1 BOTTLE (13107-058-05)Marketed from Apr 15, 2013
13107-058-301310700583030 TABLET in 1 BOTTLE (13107-058-30)Marketed from Apr 15, 2013
13107-058-99131070058991000 TABLET in 1 BOTTLE (13107-058-99)Marketed from Apr 15, 2013

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)
Acetaminophen and Codeine Phosphate
Generic name (nonproprietary)
acetaminophen and codeine phosphate
Active ingredients
Acetaminophen — 300 mg/1Codeine phosphate — 15 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202800
Marketing start
Listing expires
DEA schedule
CIII
Other FDA classes
Full Opioid Agonists (Mechanism)
Identifiers
Product ID 13107-058_d0765823-c018-4aae-85e9-27288fe43950SPL ID d0765823-c018-4aae-85e9-27288fe43950SPL set ID 02386806-02d4-47e3-9c8b-7810146ee795RxCUI 993770, 993781, 993890UNII GSL05Y1MN6, 362O9ITL9DUPC 0313107058011
Pharmacologic class
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

N413107005801 followed by a unit qualifier and the quantity

Package 13107-0058-01. 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 Acetaminophen and codeine phosphate tablets are indicated for the management of mild to moderate pain, where treatment with an opioid is appropriate and for which 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, reserve opioid analgesics, including acetaminophen and codeine phosphate tablets for use in patients for whom alternative treatment options are ineffective, not tolerated, or would be otherwise inadequate to provide sufficient management of pain.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 202800

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

FDA NDC Directory listings under ANDA 202800
ProductStrengthForm · routeLabelerProduct NDC
Acetaminophen and Codeine PhosphateAcetaminophen 300 mg/1; Codeine phosphate 60 mg/1TabletOralBryant Ranch Prepack71335-0336
Acetaminophen and Codeine PhosphateAcetaminophen 300 mg/1; Codeine phosphate 30 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-4673
Acetaminophen and Codeine PhosphateAcetaminophen 300 mg/1; Codeine phosphate 30 mg/1TabletOralAurolife Pharma, LLC13107-059
Acetaminophen and Codeine PhosphateAcetaminophen 300 mg/1; Codeine phosphate 60 mg/1TabletOralAurolife Pharma, LLC13107-060
Acetaminophen and Codeine PhosphateAcetaminophen 300 mg/1; Codeine phosphate 60 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-4749
Acetaminophen and Codeine PhosphateAcetaminophen 300 mg/1; Codeine phosphate 30 mg/1TabletOralProficient Rx LP63187-815
Acetaminophen and Codeine PhosphateAcetaminophen 300 mg/1; Codeine phosphate 30 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-5010
Acetaminophen and Codeine PhosphateAcetaminophen 300 mg/1; Codeine phosphate 30 mg/1TabletOralBryant Ranch Prepack71335-0256

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