Effervescent Pain Relief
NDC Package 55312-469-80

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 inactivated by the FDA.

Effervescent Pain Relief is completely dissolve tablets in 4 ounces of water before takingAdults and children12 years and over2 tablets every 4 hours do not exceed 8 tablets in 24 hours60 years and older2 tablets every 4 hours do not exceed 4 tablets in 24 hours. Marketed by Western Family Foods, Inc., this product is identified by NDC 55312-469 and is authorized under FDA application part343.

Identification & Billing

NDC Package Code
55312-469-80
Package Description
18 PACKET in 1 CARTON / 2 TABLET, EFFERVESCENT in 1 PACKET
Product Code
55312-469
11-Digit Billing Format
55312046980
RxNorm Crosswalk
  • RxCUI: 1536675 - aspirin 325 MG / citric acid 1000 MG / sodium bicarbonate 1916 MG Effervescent Oral Tablet
  • RxCUI: 1536675 - ASA 325 MG / Citric Acid 1000 MG / NaHCO3 1916 MG Effervescent Oral Tablet

Clinical Specifications

Proprietary Name
Effervescent Pain Relief
Dosage Form
-
Usage Information
Completely dissolve tablets in 4 ounces of water before takingAdults and children12 years and over2 tablets every 4 hours do not exceed 8 tablets in 24 hours60 years and older2 tablets every 4 hours do not exceed 4 tablets in 24 hours

Regulatory & Marketing

Labeler Name
Western Family Foods, Inc.
FDA Application #
part343
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
01-28-2008
Listing Expiration
12-31-2017
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 55312-469-80 identifies a specific commercial package of 18 packet in 1 carton / 2 tablet, effervescent in 1 packet of Effervescent Pain Relief, labeled by Western Family Foods, Inc.. 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 Western Family Foods, Inc. on January 28, 2008. The current certification is valid through December 31, 2017.

How is this Western Family Foods, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55312046980. 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)
55312-469-80
11-Digit CMS (5-4-2)
55312-0469-80

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