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  5. NDC Package Code: 21695-843-60 Butalbital, Acetaminophen And Caffeine

NDC Package 21695-843-60 Butalbital, Acetaminophen And Caffeine

View Billable Units, 11-Digit Format, RxNorm

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.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
21695-843-60
Package Description:
60 TABLET in 1 BOTTLE
Product Code:
21695-843
Proprietary Name:
Butalbital, Acetaminophen And Caffeine
Usage Information:
Dolgic Plus is indicated for the relief of the symptom complex of tension (or muscle contraction) headache.Evidence supporting the efficacy and safety of this combination product in the treatment of multiple recurrent headaches is unavailable. Caution in this regard is required because butalbital is habit-forming and potentially abusable.
11-Digit NDC Billing Format:
21695084360
NDC to RxNorm Crosswalk:
  • RxCUI: 476152 - butalbital 50 MG / acetaminophen 750 MG / caffeine 40 MG Oral Tablet
  • RxCUI: 476152 - acetaminophen 750 MG / butalbital 50 MG / caffeine 40 MG Oral Tablet
  • RxCUI: 476152 - APAP 750 MG / butalbital 50 MG / Caffeine 40 MG Oral Tablet
    • Labeler Name:
    Rebel Distributors Corp
    Sample Package:
    No
    Start Marketing Date:
    12-23-2003
    Listing Expiration Date:
    12-31-2017
    Exclude Flag:
    I
    Code Structure:

    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 disclaimer below.

    Frequently Asked Questions

    What is NDC 21695-843-60?

    The NDC Packaged Code 21695-843-60 is assigned to a package of 60 tablet in 1 bottle of Butalbital, Acetaminophen And Caffeine, labeled by Rebel Distributors Corp. The product's dosage form is and is administered via form.

    Is NDC 21695-843 included in the NDC Directory?

    No, Butalbital, Acetaminophen And Caffeine with product code 21695-843 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Rebel Distributors Corp on December 23, 2003 and its listing in the NDC Directory is set to expire on December 31, 2017 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 21695-843-60?

    The 11-digit format is 21695084360. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-221695-843-605-4-221695-0843-60