Childrens Ibuprofen
NDC Package 21130-656-04

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
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 inactivated by the FDA.

Childrens Ibuprofen is this product does not contain directions or complete warnings for adult usedo not give more than directedshake well before usingmL = milliliterfind right dose on chart. Marketed by Albertsons, this product is identified by NDC 21130-656 and is authorized under FDA application ANDA209207.

Identification & Billing

NDC Package Code
21130-656-04
Package Description
1 BOTTLE in 1 CARTON / 120 mL in 1 BOTTLE
Product Code
21130-656
11-Digit Billing Format
21130065604
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Childrens Ibuprofen
Dosage Form
-
Usage Information
This product does not contain directions or complete warnings for adult usedo not give more than directedshake well before usingmL = milliliterfind right dose on chart. If possible, use weight to dose; otherwise use age.use only enclosed dosing cup. Do not use any other dosing device.if needed, repeat dose every 6 to 8 hoursdo not use more than 4 times a dayreplace original bottle cap to maintain child resistanceDosing ChartWeight (lb)Age (yr)Dose (mL)or as directed by a doctorunder 24under 2 yearsask a doctor24-35 lbs2-3 years5 mL36-47 lbs4-5 years7.5 mL48-59 lbs6-8 years10 mL60-71 lbs9-10 years12.5 mL72-95 lbs11 years15 mL

Regulatory & Marketing

Labeler Name
Albertsons
FDA Application #
ANDA209207
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
11-28-2023
Listing Expiration
12-31-2026
Exclude Flag
I
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 21130-656-04 identifies a specific commercial package of 1 bottle in 1 carton / 120 ml in 1 bottle of Childrens Ibuprofen, labeled by Albertsons. 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 Albertsons on November 28, 2023. The current certification is valid through December 31, 2026.

How is this Albertsons product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21130065604. 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)
21130-656-04
11-Digit CMS (5-4-2)
21130-0656-04

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