NDC codes

FDA NDC Directory
Product NDC (as listed)63629-2952Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-2952Add 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
63629-2952-1636292952016362929520130 CAPSULE in 1 BOTTLE (63629-2952-1)Marketed from Dec 22, 2021
63629-2952-2636292952026362929520220 CAPSULE in 1 BOTTLE (63629-2952-2)Marketed from Dec 22, 2021
63629-2952-3636292952036362929520390 CAPSULE in 1 BOTTLE (63629-2952-3)Marketed from Mar 30, 2010
63629-2952-4636292952046362929520460 CAPSULE in 1 BOTTLE (63629-2952-4)Marketed from Mar 30, 2010
63629-2952-5636292952056362929520540 CAPSULE in 1 BOTTLE (63629-2952-5)Marketed from Sep 26, 2014
63629-2952-6636292952066362929520618 CAPSULE in 1 BOTTLE (63629-2952-6)Marketed from Dec 22, 2021

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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

Generic name (nonproprietary)
butalbital, aspirin, caffeine and codeine phosphate
Active ingredients
Butalbital — 50 mg/1Aspirin — 325 mg/1Caffeine — 40 mg/1Codeine phosphate — 30 mg/1
Dosage form
Capsule
Route
Oral
Labeler
Bryant Ranch PrepackNDC labeler code 63629
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075231
Marketing start
Listing expires
DEA schedule
CIII
Other FDA classes
Non-Steroidal (Chemical structure)Barbiturates (Chemical structure)Central Nervous System Stimulation (Physiologic effect)Cyclooxygenase Inhibitors (Mechanism)Decreased Platelet Aggregation (Physiologic effect)Decreased Prostaglandin Production (Physiologic effect)Full Opioid Agonists (Mechanism)Xanthines (Chemical structure)
Identifiers
Product ID 63629-2952_65596803-c8a0-47a5-b76a-e24e03cb5b85SPL ID 65596803-c8a0-47a5-b76a-e24e03cb5b85SPL set ID 95a33c9b-79a6-47c7-8433-fc217950b88fRxCUI 994237UNII KHS0AZ4JVK, R16CO5Y76E, 3G6A5W338E, GSL05Y1MN6
Pharmacologic class
Barbiturate; Central Nervous System Stimulant; Methylxanthine; Nonsteroidal Anti-inflammatory Drug; Opioid Agonist; 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

N463629295201 followed by a unit qualifier and the quantity

Package 63629-2952-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

ASCOMP with Codeine is indicated for the management of the symptom complex of tension (or muscle contraction) headache, when non-opioid analgesic and alternative treatments are inadequate. ASCOMP with Codeine is a combination of butalbital, a barbiturate, aspirin, a nonsteroidal anti-inflammatory drug, caffeine, a methylxanthine, and codeine phosphate, an opioid agonist, and is indicated for the management of the symptom complex of tension (or muscle contraction) headache, when other non-opioid analgesics and alternative treatments are inadequate. Limitations of Use: Because of the risks of addiction, abuse, and misuse with opioids and butalbital, which can occur at any dosage or duration, r…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63629-2952

What is NDC 63629-2952?
63629-2952 is the product NDC for Butalbital, Aspirin, Caffeine And Codeine Phosphate, Butalbital 50 mg/1 + 3 more ingredients capsule, listed with the FDA by Bryant Ranch Prepack. It has 6 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Butalbital, Aspirin, Caffeine And Codeine Phosphate.
What is the active ingredient?
Butalbital, Aspirin, Caffeine, Codeine phosphate.
Who is the labeler?
Bryant Ranch Prepack, NDC labeler code 63629. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Butalbital, Aspirin, Caffeine And Codeine Phosphate?
1 other product NDC are listed under this name. See all Butalbital, Aspirin, Caffeine And Codeine Phosphate NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Butalbital, Aspirin, Caffeine And Codeine Phosphate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
BUTALBITAL, ASPIRIN, CAFFEINE and CODEINE PHOSPHATEButalbital 50 mg/1 + 3 more ingredientsCapsuleOralAmneal Pharmaceuticals of New York, LLC69238-199369238-1993-01

Other NDCs under ANDA 075231

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

FDA NDC Directory listings under ANDA 075231
ProductStrengthForm · routeLabelerProduct NDC
Ascomp with Codeinebutalbital, aspirin, caffeine and codeine phosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralBreckenridge Pharmaceutical, Inc.51991-074
Ascomp with Codeinebutalbital, aspirin, cafeine, and codeine phosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralLGM PHARMA SOLUTIONS, LLC79739-6094

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