NDC codes

FDA NDC Directory
Product NDC (as listed)58602-882Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58602-0882Add 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
58602-882-21586020882211 BOTTLE in 1 CARTON (58602-882-21) / 100 TABLET, FILM COATED in 1 BOTTLEMarketed from Jun 23, 2022
58602-882-38586020882381 BOTTLE in 1 CARTON (58602-882-38) / 300 TABLET, FILM COATED in 1 BOTTLEMarketed from Jun 23, 2022

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 Aspirin And Caffeine
Generic name (nonproprietary)
acetaminophen, aspirin and caffeine
Active ingredients
Acetaminophen — 250 mg/1Aspirin — 250 mg/1Caffeine — 65 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 211695
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 58602-882_20f3adf2-9058-4420-ac3b-1da54420a1d2SPL ID 20f3adf2-9058-4420-ac3b-1da54420a1d2SPL set ID f5465419-1453-4ccc-a517-1fdff1eb3c05RxCUI 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

N458602088221 followed by a unit qualifier and the quantity

Package 58602-0882-21. 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)

Use treats migraine

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 211695

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

FDA NDC Directory listings under ANDA 211695
ProductStrengthForm · routeLabelerProduct NDC
Acetaminophen Aspirin And Caffeineacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralBetter Living Brands, LLC21130-074
Acetaminophen Aspirin And Caffeineacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralAurohealth LLC58602-817
Amazon Basic Care Migraine Reliefacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralAmazon.com Services LLC72288-376
Acetaminophen Aspirin And Caffeineacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralWALMART INC.79903-216

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