Over-the-counter drug · ANDA

Ibuprofen minis (Ibuprofen) NDC 21130-843

Ibuprofen 200 mg/1 · Capsule, Liquid filled · Oral · Safeway, Inc.

NDC codes

FDA NDC Directory
Product NDC (as listed)21130-843Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0843Add 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
21130-843-16211300843161 BOTTLE, PLASTIC in 1 BOX (21130-843-16) / 160 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTICMarketed from Dec 5, 2018
21130-843-80211300843801 BOTTLE, PLASTIC in 1 BOX (21130-843-80) / 80 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTICMarketed from Dec 5, 2018

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)
Ibuprofen minis
Generic name (nonproprietary)
ibuprofen
Active ingredients
Ibuprofen — 200 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Labeler
Safeway, Inc.NDC labeler code 21130
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206568
Marketing start
Marketing end
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
Identifiers
Product ID 21130-843_3d94c1de-f7a7-4fed-beae-041b92c7782fSPL ID 3d94c1de-f7a7-4fed-beae-041b92c7782fSPL set ID 22927a12-6837-4d57-8e60-043000f2f208RxCUI 310964UNII WK2XYI10QMUPC 0321130206217

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

N421130084316 followed by a unit qualifier and the quantity

Package 21130-0843-16. 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 .

Indications (excerpt from the label)

Uses temporarily relieves minor aches and pains due to: headache muscular aches minor pain of arthritis toothache backache the common cold menstrual cramps temporarily reduces fever

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 21130-843

What is NDC 21130-843?
21130-843 is the product NDC for Ibuprofen minis (ibuprofen), Ibuprofen 200 mg/1 capsule, liquid filled, listed with the FDA by Safeway, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Ibuprofen minis (Ibuprofen).
What is the active ingredient?
Ibuprofen.
Who is the labeler?
Safeway, Inc., NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Ibuprofen minis?
15 other product NDCs are listed under this name. See all Ibuprofen minis 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 Ibuprofen minis NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Ibuprofen MinisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralVivunt Pharma LLC82706-03282706-0032-0182706-0032-02
Ibuprofen MinisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralGrocery Outlet, Inc.85828-70085828-0700-80
Ibuprofen minisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralWR Group, Inc.69607-843869607-8438-00
Ibuprofen minisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralCostco Wholesale63981-19263981-0192-05
Ibuprofen MinisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralHarris Teeter72036-01572036-0015-80
Ibuprofen MinisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralAurohealth LLC58602-85858602-0858-1258602-0858-1858602-0858-23+9 more
Ibuprofen MinisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralFamily Dollar (FAMILY WELLNESS)55319-97155319-0971-1655319-0971-80
Ibuprofen minisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralStrategic Sourcing Services LLC70677-111370677-1113-01
Ibuprofen minisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralP & L Development, LLC59726-84359726-0843-10
Ibuprofen minisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralCare One (Retail Business Services, LLC.)72476-84372476-0843-1672476-0843-2072476-0843-40+1 more

All 16 Ibuprofen minis NDCs

Other NDCs under ANDA 206568

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

FDA NDC Directory listings under ANDA 206568
ProductStrengthForm · routeLabelerProduct NDC
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralSam's West, Inc68196-745
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralHumanwell PuraCap Pharmaceuticals (Wuhan) Co., Ltd53345-059
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralWalgreens0363-0945
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralHumanwell PuraCap Pharmaceutical (Wuhan) Co., Ltd53345-014
Ibuprofen minisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralCVS Pharmacy69842-643
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralHumanwell PuraCap Pharmaceutical (Wuhan) Co., Ltd53345-014
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralP & L Development, LLC59726-745
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralFamily Dollar (FAMILY WELLNESS)55319-552
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralCVS Pharmacy69842-649
Ibuprofen minisibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralP & L Development, LLC59726-843
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-845
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralHumanwell PuraCap Pharmaceutical (Wuhan) Co., Ltd53345-039
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralHumanwell PuraCap Pharmaceutical (Wuhan) Co., Ltd53345-039
Ibuprofen miniIbuprofen 200 mg/1Capsule, Liquid filledOralHumanwell PuraCap Pharmaceutical (Wuhan) Co., Ltd53345-050
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralBest Choice (Valu Merchandisers Company)63941-745
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralTopco Associates LLC36800-440
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralSam's West, Inc.68196-981
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralCVS Pharmacy69842-745
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralRugby Laboratories, Inc.0536-1147
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralPuraCap Pharmaceutical LLC51013-103

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