Signature Care Childrens Pain Relief
NDC Package 21130-243-26

11-digit billing NDC: 21130024326
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Signature Care Childrens Pain Relief is •this product does not contain directions or complete warnings for adult use•do not give more than directed (see overdose warning)•shake well before using•mL = milliliter•find right dose on chart below. Marketed by Safeway, this product is identified by NDC 21130-243 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
21130-243-26
Package Description
1 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE
Product Code
21130-243
11-Digit Billing Format
21130024326

Clinical Specifications

Proprietary Name
Signature Care Childrens Pain Relief
Dosage Form
-
Usage Information
•this product does not contain directions or complete warnings for adult use•do not give more than directed (see overdose warning)•shake well before using•mL = milliliter•find right dose on chart below. If possible, use weight to dose; otherwise, use age.•remove the child protective cap and squeeze your child’s dose into the dosing cup•repeat dose every 4 hours while symptoms last•do not give more than 5 times in 24 hoursWeight (lb)Age (yr)Dose (mL)*under 24under 2 yearsask a doctor24-352-3 years5 mL36-474-5 years7.5 mL48-596-8 years10 mL60-719-10 years12.5 mL72-9511 years15 mL *or as directed by a doctor Attention: use only enclosed dosing cup specifically designed for use with this product. Do not use any other dosing device.

Regulatory & Marketing

Labeler Name
Safeway
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-28-2015
End Marketing Date
08-31-2025
Listing Expiration
08-31-2025
Exclude Flag
D
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 21130-243-26 identifies a specific commercial package of 1 bottle in 1 carton / 118 ml in 1 bottle of Signature Care Childrens Pain Relief, labeled by Safeway. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Safeway on September 28, 2015. The current certification is valid through August 31, 2025.

How is this Safeway product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21130024326. 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 (5-3-2)
21130-243-26
11-Digit CMS (5-4-2)
21130-0243-26

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