Acetaminophen 500mg Caffeine 60mg Pyrilamine Maleate 15mg Tablet
NDC Package 0363-2310-24

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Acetaminophen 500mg Caffeine 60mg Pyrilamine Maleate 15mg tablets is for the temporary relief of these symptoms associated with menstrual periods:Cramps, bloating water-weight gain, headache, backache, muscle aches, fatigue. This formulation utilizes a tablet delivery system. Marketed by Walgreens Co., this product is identified by NDC 0363-2310 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
0363-2310-24
Package Description
24 TABLET in 1 PACKAGE
Product Code
0363-2310
11-Digit Billing Format
00363231024
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
24 EA
RxNorm Crosswalk
  • RxCUI: 1597298 - acetaminophen 500 MG / caffeine 60 MG / pyrilamine maleate 15 MG Oral Tablet
  • RxCUI: 1597298 - APAP 500 MG / Caffeine 60 MG / Pyrilamine Maleate 15 MG Oral Tablet

Clinical Specifications

Proprietary Name
Acetaminophen 500mg Caffeine 60mg Pyrilamine Maleate 15mg
Non-Proprietary Name
Acetaminophen 500mg Caffeine 60mg Pyrilamine Maleate 15mg
Substance Name
Acetaminophen; Caffeine; Pyrilamine Maleate
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
For the temporary relief of these symptoms associated with menstrual periods:Cramps, bloating water-weight gain, headache, backache, muscle aches, fatigue.

Regulatory & Marketing

Labeler Name
Walgreens Co.
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-05-2019
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0363-2310-24 identifies a specific commercial package of 24 tablet in 1 package of Acetaminophen 500mg Caffeine 60mg Pyrilamine Maleate 15mg, a human over the counter drug labeled by Walgreens Co.. This product is billed for "EA" each discreet unit and contains an estimated amount of 24 billable units per package. This tablet is formulated for oral use and contains acetaminophen; caffeine; pyrilamine maleate as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Walgreens Co. on July 05, 2019. The current certification is valid through December 31, 2026.

How is this Walgreens Co. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363231024. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 24 total billable units per package. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0363-2310-24
11-Digit CMS (5-4-2)
00363-2310-24

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.