Headache Relief Tablet, Film Coated
NDC Package 49035-433-06

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Headache Relief (acetaminophen, aspirin and caffeine) tablets is do not use more than directeddrink a full glass of water with each doseadults and children 12 years and overtake 2 caplets every 6 hoursdo not take more than 8 caplets in 24 hourschildren under 12 years: ask a doctor . This formulation utilizes a tablet, film coated delivery system. Marketed by Wal-mart Stores Inc, this product is identified by NDC 49035-433 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
49035-433-06
Package Description
2 BOTTLE, PLASTIC in 1 CARTON / 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (49035-433-12)
Product Code
11-Digit Billing Format
49035043306
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
2 EA
RxNorm Crosswalk
  • RxCUI: 308297 - acetaminophen 250 MG / aspirin 250 MG / caffeine 65 MG Oral Tablet
  • RxCUI: 308297 - APAP 250 MG / ASA 250 MG / caffeine 65 MG Oral Tablet

Clinical Specifications

Proprietary Name
Headache Relief Extra Strength
Non-Proprietary Name
Acetaminophen, Aspirin And Caffeine
Substance Name
Acetaminophen; Aspirin; Caffeine
Dosage Form
Tablet, Film Coated - A solid dosage form that contains medicinal substances with or without suitable diluents and is coated with a thin layer of a water-insoluble or water-soluble polymer.
Administration Route
Oral - Administration to or by way of the mouth.
Usage Information
Do not use more than directeddrink a full glass of water with each doseadults and children 12 years and overtake 2 caplets every 6 hoursdo not take more than 8 caplets in 24 hourschildren under 12 years: ask a doctor 

Regulatory & Marketing

Labeler Name
Wal-mart Stores Inc
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-13-2008
Listing Expiration
12-31-2027
Exclude Flag
N
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 (49035-433). Click a package code to view its specific billing and regulatory data.

1 BOTTLE, PLASTIC in 1 CARTON / 24 TABLET, FILM COATED in 1 BOTTLE, PLASTIC
200 TABLET, FILM COATED in 1 BOTTLE, PLASTIC

* 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 49035-433-06 identifies a specific commercial package of 2 bottle, plastic in 1 carton / 100 tablet, film coated in 1 bottle, plastic (49035-433-12) of Headache Relief Extra Strength, a human over the counter drug labeled by Wal-mart Stores Inc. This product is billed for "EA" each discreet unit and contains an estimated amount of 2 billable units per package. This tablet, film coated is formulated for oral use and contains acetaminophen; aspirin; caffeine as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Wal-mart Stores Inc on March 13, 2008. The current certification is valid through December 31, 2027.

How is this Wal-mart Stores Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 49035043306. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 2 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)
49035-433-06
11-Digit CMS (5-4-2)
49035-0433-06

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