Value Pharmapain Reliever
NDC Package 42787-102-50

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Value Pharmapain Reliever is uses provides temporary relief of: headache pain and fever of colds - muscle pain - toothache - minor pain of arthritis. Marketed by Ajes Pharmaceuticals,llc, this product is identified by NDC 42787-102 and is authorized under FDA application part343.

Identification & Billing

NDC Package Code
42787-102-50
Package Description
1 BOTTLE in 1 CARTON / 16250 mg in 1 BOTTLE
Product Code
42787-102
11-Digit Billing Format
42787010250
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Value Pharmapain Reliever Extra Strength
Dosage Form
-
Usage Information
Uses provides temporary relief of: headache pain and fever of colds - muscle pain - toothache - minor pain of arthritis

Regulatory & Marketing

Labeler Name
Ajes Pharmaceuticals,llc
FDA Application #
part343
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
10-01-2012
Listing Expiration
12-31-2019
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (42787-102). Click a package code to view its specific billing and regulatory data.

42787-102-12
1 BOTTLE in 1 CARTON / 325000 mg in 1 BOTTLE

* 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 42787-102-50 identifies a specific commercial package of 1 bottle in 1 carton / 16250 mg in 1 bottle of Value Pharmapain Reliever Extra Strength, labeled by Ajes Pharmaceuticals,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 Ajes Pharmaceuticals,llc on October 01, 2012. The current certification is valid through December 31, 2019.

How is this Ajes Pharmaceuticals,llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42787010250. 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)
42787-102-50
11-Digit CMS (5-4-2)
42787-0102-50

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