Butalbital, Acetaminophen And Caffeine
NDC Package 42195-955-10

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 discontinued by the firm.

Butalbital, Acetaminophen And Caffeine is a . Marketed by Xspire Pharma, Llc, this product is identified by NDC 42195-955 and is authorized under FDA application ANDA206615.

Identification & Billing

NDC Package Code
42195-955-10
Package Description
100 CAPSULE in 1 BOTTLE
Product Code
42195-955
11-Digit Billing Format
42195095510
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
100 EA

Clinical Specifications

Proprietary Name
Butalbital, Acetaminophen And Caffeine
Dosage Form
-

Regulatory & Marketing

Labeler Name
Xspire Pharma, Llc
FDA Application #
ANDA206615
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
08-04-2017
End Marketing Date
11-30-2020
Listing Expiration
11-30-2020
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 42195-955-10 identifies a specific commercial package of 100 capsule in 1 bottle of Butalbital, Acetaminophen And Caffeine, labeled by Xspire Pharma, Llc. 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 Xspire Pharma, Llc on August 04, 2017. The current certification is valid through November 30, 2020.

How is this Xspire Pharma, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42195095510. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 100 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 (5-3-2)
42195-955-10
11-Digit CMS (5-4-2)
42195-0955-10

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