Over-the-counter drug · OTC MONOGRAPH DRUG
Headache Relief Extra Strength (Acetaminophen, aspirin, caffeine) NDC 30142-625
Acetaminophen 250 mg/1 + 2 more ingredients · Tablet · Oral · The Kroger Co.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)30142-625Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0625Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 30142-625-10 | 3014206251030142062510 | 1 BOTTLE, PLASTIC in 1 BOX (30142-625-10) / 100 TABLET in 1 BOTTLE, PLASTICMarketed from Apr 30, 2018 | |
| 30142-625-24 | 3014206252430142062524 | 1 BOTTLE, PLASTIC in 1 BOX (30142-625-24) / 24 TABLET in 1 BOTTLE, PLASTICMarketed from Apr 30, 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)
- Headache Relief Extra StrengthSuffix: Extra Strength
- Generic name (nonproprietary)
- acetaminophen, aspirin, caffeine
- Active ingredients
- Acetaminophen — 250 mg/1Aspirin — 250 mg/1Caffeine — 65 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- The Kroger Co.NDC labeler code 30142
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 013
- Marketing start
- Listing expires
- Other FDA classes
- Non-Steroidal (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 30142-625_85b14eb3-4da3-44dc-a234-dc8c3676afe4SPL ID 85b14eb3-4da3-44dc-a234-dc8c3676afe4SPL set ID 5691ac45-5732-412e-abb8-2bfaac59160eRxCUI 308297UNII 362O9ITL9D, R16CO5Y76E, 3G6A5W338EUPC 0041260330759
- Pharmacologic class
- 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
N430142062510followed by a unit qualifier and the quantityPackage 30142-0625-10. 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 a cold arthritis muscular aches toothache premenstrual and menstrual cramps
Excerpt only. Read the full label for complete information.
About NDC 30142-625
- What is NDC 30142-625?
- 30142-625 is the product NDC for Headache Relief Extra Strength, Acetaminophen 250 mg/1 + 2 more ingredients tablet, listed with the FDA by The Kroger Co.. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Headache Relief Extra Strength (Acetaminophen, Aspirin, Caffeine).
- What is the active ingredient?
- Acetaminophen, Aspirin, Caffeine.
- Who is the labeler?
- The Kroger Co., NDC labeler code 30142. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Headache Relief Extra Strength?
- 26 other product NDCs are listed under this name. See all Headache Relief Extra Strength NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Headache Relief Extra Strength products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Headache Relief Extra Strengthacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, CoatedOral | P & L Development, LLC | 59726-586 | 59726-0586-80 |
| Headache Relief Extra Strengthacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Grocery Outlet | 85828-285 | 85828-0285-93 |
| Headache Relief Extra Strengthaspirin, acetaminophen, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Rite Aid Corporation | 11822-3343 | 11822-3343-06 |
| Headache Relief Extra Strengthacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Safeway, Inc. | 21130-586 | 21130-0586-20 |
| Headache Relief Extra Strengthacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | H E B | 37808-586 | 37808-0586-2037808-0586-80 |
| Headache Relief Extra Strengthacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | P & L Development, LLC | 59726-011 | 59726-0011-50 |
| Headache Relief Extra Strengthacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Family Dollar (FAMILY WELLNESS) | 55319-511 | 55319-0511-10 |
| Headache Relief Extra Strengthacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Walgreens | 0363-1150 | 00363-1150-25 |
| Headache Relief Extra Strengthacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Walgreens | 0363-0865 | 00363-0865-25 |
| Headache Relief Extra Strengthacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | The Kroger Co. | 30142-865 | 30142-0865-24 |
Other NDCs under M 013
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Acetaminophen | Acetaminophen 500 mg/1 | Tablet, CoatedOral | COSTCO WHOLESALE CORPORATION | 63981-019 |
| Extra Strength Pain Releifacetaminophen | Acetaminophen 500 mg/1 | Tablet, Film coatedOral | Strategic Sourcing Services, LLC | 70677-1242 |
| Aspirin 81 mgaspirin | Aspirin 81 mg/1 | Tablet, Delayed releaseOral | H E B | 37808-600 |
| TYLENOL Extra Strengthacetaminophen | Acetaminophen 500 mg/1 | Tablet, Film coatedOral | Morning Star OTC | 53209-1001 |
| Extra Strength Pain Relieveracetaminophen tablets 500 mg | Acetaminophen 500 mg/1 | TabletOral | WALGREENS | 0363-0669 |
| Pain Relieveracetaminophen capsules 500mg (minis-red opaque) | Acetaminophen 500 mg/1 | Capsule, Liquid filledOral | Walgreens | 0363-6684 |
| Mommys Bliss Childrens Pain and Feveracetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Mom Enterprises, LLC. | 71444-793 |
| Childrens Pain and Feveracetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | CVS Pharmacy | 59779-126 |
| Good Neighbor Pharmacy childrens pain and feveracetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Amerisource Bergen | 46122-211 |
| Acetaminophen | Acetaminophen 160 mg/5mL | LiquidOral | A-S Medication Solutions | 50090-6059 |
| Members Mark Acetaminophenacetaminophen | Acetaminophen 500 mg/1 | TabletOral | Sam's West Inc | 68196-606 |
| Mommys Bliss Infants Pain and Feveracetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Mom Enterprises, LLC. | 71444-893 |
| Thompson Extra Strength Non-Aspirinacetaminophen | Acetaminophen 500 mg/1 | TabletOral | Thompson | 73408-174 |
| Aspirin 81 mg Low Doseaspirin | Aspirin 81 mg/1 | Tablet, Delayed releaseOral | CHAIN DRUG MARKETING ASSOCIATION, INC. | 83324-089 |
| Acetaminophen | Acetaminophen 500 mg/1 | TabletOral | ASCLEMED USA INC. | 87063-222 |
| Pain Relief Aspirin Low Doseaspirin | Aspirin 81 mg/1 | Tablet, Delayed releaseOral | Rite Aid Corporation | 11822-0600 |
| equate pain and fever childrensacetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Wal-Mart Stores Inc | 49035-042 |
| Pain and Fever Childrensacetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | P & L Development, LLC | 49580-0282 |
| Dye Free Pain and Fever Childrensacetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Walgreens | 0363-0285 |
| Pain Reliever Extra Strengthacetaminophen | Acetaminophen 500 mg/1 | Tablet, CoatedOral | Walgreen Company | 0363-0519 |
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