Butalbital, Acetaminophen, and Caffeine NDC 63187-933

NDC codes

FDA NDC Directory

Product NDC (as listed)63187-933Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63187-0933Add 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 NDC	11-digit (billing)	Package
63187-933-14	63187093314	14 TABLET in 1 BOTTLE, PLASTIC (63187-933-14)Marketed from Feb 28, 2020
63187-933-30	63187093330	30 TABLET in 1 BOTTLE, PLASTIC (63187-933-30)Marketed from Nov 1, 2017
63187-933-60	63187093360	60 TABLET in 1 BOTTLE, PLASTIC (63187-933-60)Marketed from Nov 1, 2017
63187-933-90	63187093390	90 TABLET in 1 BOTTLE, PLASTIC (63187-933-90)Marketed from Nov 1, 2017

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): Butalbital, Acetaminophen, and Caffeine
Generic name (nonproprietary): butalbital, acetaminophen, and caffeine
Active ingredients: Butalbital — 50 mg/1Acetaminophen — 325 mg/1Caffeine — 40 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Proficient Rx LP
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 200243
Marketing start: Sep 13, 2012
Listing expires: Dec 31, 2026
DEA schedule: CIII
Other FDA classes: Barbiturates (Chemical structure)Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
Identifiers: Product ID 63187-933_7dab4e36-bc51-4ee3-ac6e-ec651dcfc508SPL ID 7dab4e36-bc51-4ee3-ac6e-ec651dcfc508SPL set ID 7a2219a8-8aaf-44ad-9808-b67923df361aRxCUI 238154UNII KHS0AZ4JVK, 362O9ITL9D, 3G6A5W338E
Pharmacologic class: Barbiturate; Central Nervous System Stimulant; Methylxanthine

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

N463187093314 followed by a unit qualifier and the quantity

Package 63187-0933-14. 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 Feb 1, 2022. This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Butalbital, acetaminophen, and caffeine tablets, USP are indicated for the relief of the symptom complex of tension (or muscle contraction) headache. Evidence supporting the efficacy and safety of this combination product in the treatment of multiple recurrent headaches is unavailable. Caution in this regard is required because butalbital is habit-forming and potentially abusable.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 200243

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

FDA NDC Directory listings under ANDA 200243
Product	Strength	Form · route	Labeler	Product NDC
Butalbital, Acetaminophen, and Caffeine	Butalbital 50 mg/1 + 2 more ingredients	TabletOral	Cardinal Health 107, LLC	55154-3356
Butalbital, Acetaminophen, and Caffeine	Butalbital 50 mg/1 + 2 more ingredients	TabletOral	Bryant Ranch Prepack	63629-8392
Butal/APAP/Caff	Butalbital 50 mg/1 + 2 more ingredients	TabletOral	Direct_Rx	72189-441
Butalbital, Acetaminophen, and Caffeine	Acetaminophen 325 mg/1 + 2 more ingredients	TabletOral	NuCare Pharmaceuticals, Inc.	68071-3249
Butalbital, Acetaminophen, and Caffeine	Butalbital 50 mg/1 + 2 more ingredients	TabletOral	Lannett Company, Inc.	0527-1695
Butalbital, Acetaminophen, and Caffeine	Butalbital 50 mg/1 + 2 more ingredients	TabletOral	REMEDYREPACK INC.	70518-1134
Butalbital, Acetaminophen, and Caffeine	Butalbital 50 mg/1 + 2 more ingredients	TabletOral	Major Pharmaceuticals	0904-6938