Over-the-counter drug · ANDA
migraine formula (Acetaminophen, aspirin, caffeine) NDC 42507-374
Acetaminophen 250 mg/1 + 2 more ingredients · Tablet, Film coated · Oral · HyVee Inc
NDC codes
FDA NDC DirectoryProduct NDC (as listed)42507-374Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42507-0374Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 42507-374-62 | 4250703746242507037462 | 1 BOTTLE in 1 CARTON (42507-374-62) / 24 TABLET, FILM COATED in 1 BOTTLE (42507-374-24)Marketed from Sep 9, 2002 | |
| 42507-374-78 | 4250703747842507037478 | 1 BOTTLE in 1 CARTON (42507-374-78) / 100 TABLET, FILM COATED in 1 BOTTLE (42507-374-00)Marketed from Sep 9, 2002 |
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)
- migraine formula
- Generic name (nonproprietary)
- acetaminophen, aspirin, caffeine
- Active ingredients
- Acetaminophen — 250 mg/1Aspirin — 250 mg/1Caffeine — 65 mg/1
- Dosage form
- Tablet, Film coated
- Route
- Oral
- Labeler
- HyVee IncNDC labeler code 42507
- Product type
- Over-the-counter drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 075794
- 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 42507-374_00449320-5a85-4532-a90d-1cc125e46744SPL ID 00449320-5a85-4532-a90d-1cc125e46744SPL set ID 76e21832-5c4c-4c73-9f87-1060abbd3d82RxCUI 308297UNII 362O9ITL9D, R16CO5Y76E, 3G6A5W338E
- 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
N442507037462followed by a unit qualifier and the quantityPackage 42507-0374-62. 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.
About NDC 42507-374
- What is NDC 42507-374?
- 42507-374 is the product NDC for migraine formula, Acetaminophen 250 mg/1 + 2 more ingredients tablet, film coated, listed with the FDA by HyVee Inc. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- migraine formula (Acetaminophen, Aspirin, Caffeine).
- What is the active ingredient?
- Acetaminophen, Aspirin, Caffeine.
- Who is the labeler?
- HyVee Inc, NDC labeler code 42507. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for migraine formula?
- 3 other product NDCs are listed under this name. See all migraine formula NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other migraine formula products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Migraine Formulaacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Meijer, Inc. | 79481-0211 | 79481-0211-00 |
| migraine formulaacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | H E B | 37808-374 | 37808-0374-78 |
| migraine formulaacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Meijer Distribution Inc | 41250-374 | 41250-0374-6241250-0374-7141250-0374-78+1 more |
Other NDCs under ANDA 075794
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 |
|---|---|---|---|---|
| basic care migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Amazon.com Services LLC | 72288-295 |
| basic care migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Amazon.com Services LLC | 72288-374 |
| Care One migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | American Sales Company | 41520-374 |
| DG Health migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Dolgencorp, LLC | 55910-374 |
| dg health migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Dolgencorp Inc | 55910-448 |
| Equaline migraine formulaacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | United Natural Foods, Inc. dba UNFI | 41163-374 |
| foster and thrive migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Strategic Sourcing Services LLC | 70677-1133 |
| good neighbor pharmacy migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Amerisource Bergen | 24385-365 |
| good sense migraine formulaacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | L. Perrigo Company | 0113-0374 |
| good sense migraine formulaacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | L. Perrigo Company | 0113-1619 |
| good sense migraine formulaacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Proficient Rx LP | 82804-002 |
| good sense migraine formulaacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Sportpharm LLC | 85766-180 |
| Leader Migraine Reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Cardinal Health 110, LLC. dba Leader | 70000-0247 |
| leader migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Cardinal Health 110, LLC. dba Leader | 70000-0611 |
| migraine formulaacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | H E B | 37808-374 |
| migraine formulaacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Meijer Distribution Inc | 41250-374 |
| Migraine Formulaacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Meijer, Inc. | 79481-0211 |
| migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Walgreen Company | 0363-0374 |
| migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Walgreen Company | 0363-1235 |
| migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Rite Aid Corporation | 11822-0374 |
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