NDC codes

FDA NDC Directory
Product NDC (as listed)30142-720Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0720Add 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
30142-720-23301420720231 BOTTLE in 1 CARTON (30142-720-23) / 72 TABLET, FILM COATED in 1 BOTTLEMarketed from May 16, 2023

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 ibuprofen
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
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
Identifiers
Product ID 30142-720_dd1540cd-c51e-487f-8457-8b45f7aa13ccSPL ID dd1540cd-c51e-487f-8457-8b45f7aa13ccSPL set ID e6c0cca6-812e-4bea-86b0-e15b10f3f0d4RxCUI 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

N430142072023 followed by a unit qualifier and the quantity

Package 30142-0720-23. 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 • toothache • backache • menstrual cramps • muscular aches • minor pain of arthritis

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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
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 actionacetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralRite Aid Corporation11822-5777
dual pain relieveracetaminophen, ibuprofenAcetaminophen 250 mg/1; Ibuprofen 125 mg/1Tablet, Film coatedOralWalgreen Company0363-5220

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