NDC codes

FDA NDC Directory
Product NDC (as listed)69842-680Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0680Add 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
69842-680-1069842068010100 TABLET in 1 BOTTLE (69842-680-10)Marketed from Jul 5, 2021

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 Caffeine
Generic name (nonproprietary)
acetaminophen aspirin caffeine
Active ingredients
Acetaminophen — 250 mg/1Caffeine — 65 mg/1Aspirin — 250 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214039
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 69842-680_46540c2c-734e-24bd-e063-6294a90a115aSPL ID 46540c2c-734e-24bd-e063-6294a90a115aSPL set ID c340c5ef-e15d-53ce-e053-2995a90a73e7RxCUI 308297UNII 362O9ITL9D, 3G6A5W338E, R16CO5Y76E
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

N469842068010 followed by a unit qualifier and the quantity

Package 69842-0680-10. 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 214039

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

FDA NDC Directory listings under ANDA 214039
ProductStrengthForm · routeLabelerProduct NDC
Migraine Reliefacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralAAA PHARMACEUTICAL, INC.57344-205
Acetaminophen, Aspirin and CaffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralGranules India Ltd62207-680
Migraine Reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralFamily Dollar (FAMILY WELLNESS)55319-970
Acetaminophen, Aspirin and CaffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralSafeway, Inc21130-681
Acetaminophen, Aspirin and CaffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralSafrel Pharmaceuticals, LLC.71309-079
Migraine Reliefacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralFSA STORE INC.81522-205
Publix Super Markets Incacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralPUBLIX SUPER MARKETS INC56062-305
Migraine Reliefacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralHARRIS TEETER72036-305
Migraine Reliefacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralCHAIN DRUG MARKETING ASSOCIATION, INC.83324-099
Migraine Reliefacetaminophen, aspirin and caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralDISCOUNT DRUG MART53943-305
Acetaminophen, Aspirin and CaffeineAspirin 250 mg/1 + 2 more ingredientsTabletOralFAMILY DOLLAR55319-680
Acetaminophen Aspirin CaffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralWALGREEN CO0363-9680

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