Over-the-counter drug · OTC MONOGRAPH DRUG
Headache Relief (Acetaminophen, aspirin, caffeine) NDC 79903-370
Acetaminophen 250 mg/1 + 2 more ingredients · Tablet · Oral · Walmart Inc.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)79903-370Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0370Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 79903-370-20 | 7990303702079903037020 | 200 TABLET in 1 BOTTLE (79903-370-20)Marketed from Jul 30, 2024 | |
| 79903-370-21 | 7990303702179903037021 | 2 BOTTLE in 1 CARTON (79903-370-21) / 100 TABLET in 1 BOTTLE (79903-370-01)Marketed from Jul 30, 2024 |
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)
- Headache Relief
- Generic name (nonproprietary)
- acetaminophen, aspirin, caffeine
- Active ingredients
- Acetaminophen — 250 mg/1Caffeine — 65 mg/1Aspirin — 250 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- Walmart Inc.NDC labeler code 79903
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 013
- 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 79903-370_42d2176d-0485-17cd-e063-6294a90a00b1SPL ID 42d2176d-0485-17cd-e063-6294a90a00b1SPL set ID 1557bd9b-3e7c-4769-e063-6394a90a9d91RxCUI 308297UNII 362O9ITL9D, 3G6A5W338E, R16CO5Y76EUPC 0194346263646
- 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
N479903037020followed by a unit qualifier and the quantityPackage 79903-0370-20. 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 temporarily relieves minor aches and pains due to: -headache -a cold -arthritis -muscular aches -toothache -premenstrual and menstrual cramps
Excerpt only. Read the full label for complete information.
About NDC 79903-370
- What is NDC 79903-370?
- 79903-370 is the product NDC for Headache Relief, Acetaminophen 250 mg/1 + 2 more ingredients tablet, listed with the FDA by Walmart Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Headache Relief (Acetaminophen, Aspirin, Caffeine).
- What is the active ingredient?
- Acetaminophen, Caffeine, Aspirin.
- Who is the labeler?
- Walmart Inc., NDC labeler code 79903. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Headache Relief?
- 13 other product NDCs are listed under this name. See all Headache Relief NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Headache Relief products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Headache Reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Chain Drug Marketing Association, Inc. | 83324-331 | 83324-0331-0183324-0331-24 |
| Headache Reliefacetaminophen, aspirin, caffeine | Aspirin 250 mg/1 + 2 more ingredients | TabletOral | WALGREENS | 0363-7012 | 00363-7012-0100363-7012-42 |
| Headache Reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, CoatedOral | Strive Pharmaceuticals Inc. | 70692-142 | 70692-0142-31 |
| Headache Reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Publix Super Markets Inc | 56062-934 | 56062-0934-12 |
| Headache Reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | DOLGENCORP, LLC | 55910-345 | 55910-0345-0855910-0345-12 |
| Headache Reliefacetaminophen, aspirin and caffeine | Caffeine 65 mg/1 + 2 more ingredients | Tablet, CoatedOral | Kroger Company | 41226-370 | 41226-0370-0141226-0370-42 |
| Headache Reliefacetaminophen, aspirin, caffeine | Aspirin 250 mg/1 + 2 more ingredients | Tablet, CoatedOral | WALGREENS | 0363-0770 | 00363-0770-0100363-0770-42 |
| Headache Reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Amerisource Bergen | 46122-690 | 46122-0690-78 |
| Headache Reliefatropa belladonna, gelsemium sempervirens root, ipecac and iris versicolor root | Gelsemium sempervirens root 6 [hp_X]/1 + 3 more ingredients | TabletOral | Hyland's Inc. | 54973-4008 | 54973-4008-01 |
| Headache Reliefacetaminophen-aspirin-caffeine | Aspirin 250 mg/1 + 2 more ingredients | Tablet, CoatedOral | TARGET CORPORATION | 11673-070 | 11673-0070-0111673-0070-72 |
Other NDCs under M 013
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Acetaminophen | Acetaminophen 500 mg/1 | Tablet, CoatedOral | COSTCO WHOLESALE CORPORATION | 63981-019 |
| Extra Strength Pain Releifacetaminophen | Acetaminophen 500 mg/1 | Tablet, Film coatedOral | Strategic Sourcing Services, LLC | 70677-1242 |
| Aspirin 81 mgaspirin | Aspirin 81 mg/1 | Tablet, Delayed releaseOral | H E B | 37808-600 |
| TYLENOL Extra Strengthacetaminophen | Acetaminophen 500 mg/1 | Tablet, Film coatedOral | Morning Star OTC | 53209-1001 |
| Extra Strength Pain Relieveracetaminophen tablets 500 mg | Acetaminophen 500 mg/1 | TabletOral | WALGREENS | 0363-0669 |
| Pain Relieveracetaminophen capsules 500mg (minis-red opaque) | Acetaminophen 500 mg/1 | Capsule, Liquid filledOral | Walgreens | 0363-6684 |
| Mommys Bliss Childrens Pain and Feveracetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Mom Enterprises, LLC. | 71444-793 |
| Childrens Pain and Feveracetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | CVS Pharmacy | 59779-126 |
| Good Neighbor Pharmacy childrens pain and feveracetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Amerisource Bergen | 46122-211 |
| Acetaminophen | Acetaminophen 160 mg/5mL | LiquidOral | A-S Medication Solutions | 50090-6059 |
| Members Mark Acetaminophenacetaminophen | Acetaminophen 500 mg/1 | TabletOral | Sam's West Inc | 68196-606 |
| Mommys Bliss Infants Pain and Feveracetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Mom Enterprises, LLC. | 71444-893 |
| Thompson Extra Strength Non-Aspirinacetaminophen | Acetaminophen 500 mg/1 | TabletOral | Thompson | 73408-174 |
| Aspirin 81 mg Low Doseaspirin | Aspirin 81 mg/1 | Tablet, Delayed releaseOral | CHAIN DRUG MARKETING ASSOCIATION, INC. | 83324-089 |
| Acetaminophen | Acetaminophen 500 mg/1 | TabletOral | ASCLEMED USA INC. | 87063-222 |
| Pain Relief Aspirin Low Doseaspirin | Aspirin 81 mg/1 | Tablet, Delayed releaseOral | Rite Aid Corporation | 11822-0600 |
| equate pain and fever childrensacetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Wal-Mart Stores Inc | 49035-042 |
| Pain and Fever Childrensacetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | P & L Development, LLC | 49580-0282 |
| Dye Free Pain and Fever Childrensacetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Walgreens | 0363-0285 |
| Pain Reliever Extra Strengthacetaminophen | Acetaminophen 500 mg/1 | Tablet, CoatedOral | Walgreen Company | 0363-0519 |
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