NDC codes

FDA NDC Directory
Product NDC (as listed)69517-130Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69517-0130Add 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
69517-130-2069517013020695170130201 BOTTLE in 1 CARTON (69517-130-20) / 20 TABLET, COATED in 1 BOTTLEMarketed from May 31, 2017
69517-130-24695170130246951701302424 TABLET, COATED in 1 BOTTLE (69517-130-24)Marketed from Dec 28, 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)
Menstrual Complete
Generic name (nonproprietary)
menstrual complete
Active ingredients
Acetaminophen — 500 mg/1Caffeine — 60 mg/1Pyrilamine maleate — 15 mg/1
Dosage form
Tablet, Coated
Route
Oral
Labeler
Healthlife of USANDC labeler code 69517
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 013
Marketing start
Listing expires
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
Identifiers
Product ID 69517-130_08343e8a-faa7-79f6-e063-6294a90a4417SPL ID 08343e8a-faa7-79f6-e063-6294a90a4417SPL set ID c7e89b01-a8eb-4487-8f0b-a4b9ae6d9f33RxCUI 1597298UNII 362O9ITL9D, 3G6A5W338E, R35D29L3ZA
Pharmacologic class
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

N469517013020 followed by a unit qualifier and the quantity

Package 69517-0130-20. 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 For the temporary relief of these symptoms associated with menstrual periods Cramps Bloating Water- weight gain Headache Backache Muscle aches Fatigue

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69517-130

What is NDC 69517-130?
69517-130 is the product NDC for Menstrual Complete, Acetaminophen 500 mg/1 + 2 more ingredients tablet, coated, listed with the FDA by Healthlife of USA. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Menstrual Complete.
What is the active ingredient?
Acetaminophen, Caffeine, Pyrilamine maleate.
Who is the labeler?
Healthlife of USA, NDC labeler code 69517. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Menstrual Complete?
15 other product NDCs are listed under this name. See all Menstrual Complete 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 Menstrual Complete NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTabletOralKroger41226-34841226-0348-44
Menstrual CompleteAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralAllegiant Health69168-47069168-0470-0669168-0470-82
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWALMART INC.79903-26679903-0266-40
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralRite Aid Corporation11822-390011822-3900-0111822-3900-08
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralMeijer Distribution, Inc.79481-039079481-0390-01
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralH E B37808-38937808-0389-10
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralFamily Dollar Services Inc55319-30155319-0301-21
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralChain Drug Marketing Association, Inc.83324-01783324-0017-24
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralL.N.K. International, Inc.50844-39950844-0399-0850844-0399-21
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTabletOralStrive Pharmaceuticals Inc.70692-13170692-0131-2470692-0131-46

All 16 Menstrual Complete NDCs

Other NDCs under M 013

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

FDA NDC Directory listings under M 013
ProductStrengthForm · routeLabelerProduct NDC
AcetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralCOSTCO WHOLESALE CORPORATION63981-019
Extra Strength Pain ReleifacetaminophenAcetaminophen 500 mg/1Tablet, Film coatedOralStrategic Sourcing Services, LLC70677-1242
Aspirin 81 mgaspirinAspirin 81 mg/1Tablet, Delayed releaseOralH E B37808-600
TYLENOL Extra StrengthacetaminophenAcetaminophen 500 mg/1Tablet, Film coatedOralMorning Star OTC53209-1001
Extra Strength Pain Relieveracetaminophen tablets 500 mgAcetaminophen 500 mg/1TabletOralWALGREENS0363-0669
Pain Relieveracetaminophen capsules 500mg (minis-red opaque)Acetaminophen 500 mg/1Capsule, Liquid filledOralWalgreens0363-6684
Mommys Bliss Childrens Pain and FeveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralMom Enterprises, LLC.71444-793
Childrens Pain and FeveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralCVS Pharmacy59779-126
Good Neighbor Pharmacy childrens pain and feveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralAmerisource Bergen46122-211
AcetaminophenAcetaminophen 160 mg/5mLLiquidOralA-S Medication Solutions50090-6059
Members Mark AcetaminophenacetaminophenAcetaminophen 500 mg/1TabletOralSam's West Inc68196-606
Mommys Bliss Infants Pain and FeveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralMom Enterprises, LLC.71444-893
Thompson Extra Strength Non-AspirinacetaminophenAcetaminophen 500 mg/1TabletOralThompson73408-174
Aspirin 81 mg Low DoseaspirinAspirin 81 mg/1Tablet, Delayed releaseOralCHAIN DRUG MARKETING ASSOCIATION, INC.83324-089
AcetaminophenAcetaminophen 500 mg/1TabletOralASCLEMED USA INC.87063-222
Pain Relief Aspirin Low DoseaspirinAspirin 81 mg/1Tablet, Delayed releaseOralRite Aid Corporation11822-0600
equate pain and fever childrensacetaminophenAcetaminophen 160 mg/5mLSuspensionOralWal-Mart Stores Inc49035-042
Pain and Fever ChildrensacetaminophenAcetaminophen 160 mg/5mLSuspensionOralP & L Development, LLC49580-0282
Dye Free Pain and Fever ChildrensacetaminophenAcetaminophen 160 mg/5mLSuspensionOralWalgreens0363-0285
Pain Reliever Extra StrengthacetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralWalgreen Company0363-0519

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