Over-the-counter drug · ANDA
Migraine Relief (Acetaminophen, aspirin and caffeine) NDC 81522-205
Acetaminophen 250 mg/1 + 2 more ingredients · Tablet · Oral · FSA STORE INC.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)81522-205Labeler and product segments. Claims need a package NDC.
Product NDC at billing width81522-0205Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 81522-205-03 | 8152202050381522020503 | 1 BOTTLE, PLASTIC in 1 CARTON (81522-205-03) / 100 TABLET in 1 BOTTLE, PLASTICMarketed from Jan 11, 2023 |
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)
- Migraine Relief
- Generic name (nonproprietary)
- acetaminophen, aspirin and caffeine
- Active ingredients
- Acetaminophen — 250 mg/1Aspirin — 250 mg/1Caffeine — 65 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- FSA STORE INC.NDC labeler code 81522
- 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 81522-205_f212f808-9330-2b65-e053-2995a90a5775SPL ID f212f808-9330-2b65-e053-2995a90a5775SPL set ID ec6b7017-cf12-09a7-e053-2995a90a2db9RxCUI 308297UNII 362O9ITL9D, R16CO5Y76E, 3G6A5W338EUPC 0099581912031
- 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
N481522020503followed by a unit qualifier and the quantityPackage 81522-0205-03. 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.
About NDC 81522-205
- What is NDC 81522-205?
- 81522-205 is the product NDC for Migraine Relief, Acetaminophen 250 mg/1 + 2 more ingredients tablet, listed with the FDA by FSA STORE INC.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Migraine Relief (ACETAMINOPHEN, ASPIRIN and CAFFEINE).
- What is the active ingredient?
- Acetaminophen, Aspirin, Caffeine.
- Who is the labeler?
- FSA STORE INC., NDC labeler code 81522. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Migraine Relief?
- 15 other product NDCs are listed under this name. See all Migraine Relief NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Migraine 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) |
|---|---|---|---|---|---|
| migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Amazon.com Services LLC | 72288-286 | 72288-0286-27 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | CHAIN DRUG MARKETING ASSOCIATION, INC. | 83324-099 | 83324-0099-24 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | DISCOUNT DRUG MART | 53943-305 | 53943-0305-03 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | HARRIS TEETER | 72036-305 | 72036-0305-03 |
| Migraine Reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Family Dollar (FAMILY WELLNESS) | 55319-970 | 55319-0970-1055319-0970-24 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | AAA PHARMACEUTICAL, INC. | 57344-205 | 57344-0205-01 |
| Migraine Reliefturmeric, curcuma aromatica root, indian frankincense, ginger, feverfew | Turmeric 2 [hp_X]/6g + 4 more ingredients | PowderOral | Rida LLC | 83004-003 | 83004-0003-01 |
| migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Walgreen Company | 0363-1235 | 00363-1235-2700363-1235-60 |
| migraine reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Kroger Company | 30142-896 | 30142-0896-6230142-0896-78 |
| Migraine Reliefibuprofen | Ibuprofen 200 mg/1 | Capsule, Liquid filledOral | Bionpharma Inc. | 69452-263 | 69452-0263-1169452-0263-7869452-0263-79 |
Other NDCs under ANDA 214039
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, Aspirin and Caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Safrel Pharmaceuticals, LLC. | 71309-079 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | HARRIS TEETER | 72036-305 |
| Acetaminophen Aspirin Caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | CVS PHARMACY, INC | 69842-680 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | DISCOUNT DRUG MART | 53943-305 |
| Acetaminophen, Aspirin and Caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Safeway, Inc | 21130-681 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | AAA PHARMACEUTICAL, INC. | 57344-205 |
| Acetaminophen, Aspirin and Caffeine | Aspirin 250 mg/1 + 2 more ingredients | TabletOral | FAMILY DOLLAR | 55319-680 |
| Acetaminophen, Aspirin and Caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Granules India Ltd | 62207-680 |
| Acetaminophen Aspirin Caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Dr. Reddy's Laboratories Inc. | 75907-432 |
| Migraine Reliefacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | CHAIN DRUG MARKETING ASSOCIATION, INC. | 83324-099 |
| Migraine Reliefacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Family Dollar (FAMILY WELLNESS) | 55319-970 |
| Publix Super Markets Incacetaminophen, aspirin and caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | PUBLIX SUPER MARKETS INC | 56062-305 |
| Acetaminophen Aspirin Caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | WALGREEN CO | 0363-9680 |