Headache Formula
NDC Package 55301-159-12

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.

Headache Formula is a . Marketed by Army And Air Force Exchange Service, this product is identified by NDC 55301-159 and is authorized under FDA application part343.

Identification & Billing

NDC Package Code
55301-159-12
Package Description
1 BOTTLE, PLASTIC in 1 CARTON / 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC
Product Code
55301-159
11-Digit Billing Format
55301015912

Clinical Specifications

Proprietary Name
Headache Formula Extra Strength
Dosage Form
-

Regulatory & Marketing

Labeler Name
Army And Air Force Exchange Service
FDA Application #
part343
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
11-17-1992
End Marketing Date
05-22-2021
Listing Expiration
05-22-2021
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 55301-159-12 identifies a specific commercial package of 1 bottle, plastic in 1 carton / 100 tablet, film coated in 1 bottle, plastic of Headache Formula Extra Strength, labeled by Army And Air Force Exchange Service. 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 Army And Air Force Exchange Service on November 17, 1992. The current certification is valid through May 22, 2021.

How is this Army And Air Force Exchange Service product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55301015912. 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)
55301-159-12
11-Digit CMS (5-4-2)
55301-0159-12

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