NDC codes

FDA NDC Directory
Product NDC (as listed)79739-6670Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79739-6670Add 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
79739-6670-17973966700179739667001100 CAPSULE in 1 BOTTLE, PLASTIC (79739-6670-1)Marketed from Jun 10, 2004
79739-6670-57973966700579739667005500 CAPSULE in 1 BOTTLE, PLASTIC (79739-6670-5)Marketed from Jun 10, 2004

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, acetaminophen, caffeine, and codeine phosphate
Active ingredients
Butalbital — 50 mg/1Acetaminophen — 325 mg/1Caffeine — 40 mg/1Codeine phosphate — 30 mg/1
Dosage form
Capsule
Route
Oral
Labeler
LGM PHARMA SOLUTIONS, LLCNDC labeler code 79739
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076560
Marketing start
Listing expires
DEA schedule
CIII
Other FDA classes
Barbiturates (Chemical structure)Central Nervous System Stimulation (Physiologic effect)Full Opioid Agonists (Mechanism)Xanthines (Chemical structure)
Identifiers
Product ID 79739-6670_20dc9c68-50ed-4c48-a516-d5b82b3654a6SPL ID 20dc9c68-50ed-4c48-a516-d5b82b3654a6SPL set ID 180d20a5-78a8-4faa-98ad-3196cdd5663aRxCUI 993943UNII KHS0AZ4JVK, 362O9ITL9D, 3G6A5W338E, GSL05Y1MN6UPC 0379739667014
Pharmacologic class
Barbiturate; Central Nervous System Stimulant; Methylxanthine; Opioid Agonist

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

N479739667001 followed by a unit qualifier and the quantity

Package 79739-6670-01. 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)

Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate Capsules are indicated for the management of the symptom complex of tension (or muscle contraction) headache when non opioid analgesic and alternative treatments are inadequate. Limitations of Use Because of the risks of addiction, abuse, and misuse with opioids and butalbital, even at recommended doses [see Warnings and Precautions ( 5.1 )] , reserve Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate Capsules for use in patients for whom alternative treatment options [e.g., non-opioid, non-barbiturate analgesics]: Have not been tolerated, or are not expected to be tolerated, Have not provided adequate analgesia, or are not e…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 79739-6670

What is NDC 79739-6670?
79739-6670 is the product NDC for Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate, Butalbital 50 mg/1 + 3 more ingredients capsule, listed with the FDA by LGM PHARMA SOLUTIONS, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate.
What is the active ingredient?
Butalbital, Acetaminophen, Caffeine, Codeine phosphate.
Who is the labeler?
LGM PHARMA SOLUTIONS, LLC, NDC labeler code 79739. 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, Acetaminophen, Caffeine, and Codeine Phosphate?
7 other product NDCs are listed under this name. See all Butalbital, Acetaminophen, 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, Acetaminophen, Caffeine, and Codeine Phosphate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralHikma Pharmaceuticals USA Inc.0054-065000054-0650-25
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralHikma Pharmaceuticals USA Inc.0054-300000054-3000-01
Butalbital, Acetaminophen, Caffeine, and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralActavis Pharma, Inc.0591-264100591-2641-01
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralBreckenridge Pharmaceutical, Inc.51991-07351991-0073-01
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralBryant Ranch Prepack71335-019471335-0194-0171335-0194-0271335-0194-03+4 more
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralBryant Ranch Prepack72162-159172162-1591-02
Butalbital, Acetaminophen, Caffeine, and Codeine PhosphateCodeine phosphate 30 mg/1 + 3 more ingredientsCapsuleOralActavis Pharma, Inc.0591-322000591-3220-01

Other NDCs under ANDA 076560

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

FDA NDC Directory listings under ANDA 076560
ProductStrengthForm · routeLabelerProduct NDC
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralBreckenridge Pharmaceutical, Inc.51991-073
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralBryant Ranch Prepack71335-0194
Butalbital, Acetaminophen, Caffeine and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralBryant Ranch Prepack72162-1591
Butalbital, Acetaminophen, Caffeine, and Codeine PhosphateButalbital 50 mg/1 + 3 more ingredientsCapsuleOralActavis Pharma, Inc.0591-2641

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