Family Wellness Childrens Pain Reliever 574 Suspension
NDC Package 55319-930-03

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

Package Information

Family Wellness Childrens Pain Reliever 574 (acetaminophen) suspension is a medication used to treat mild to moderate pain (from headaches, menstrual periods, toothaches, backaches, osteoarthritis, or cold/flu aches and pains) and to reduce fever. This formulation utilizes a suspension delivery system. Marketed by Family Dollar Services, Inc., this product is identified by NDC 55319-930 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
55319-930-03
Package Description
1 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE
Product Code
55319-930
11-Digit Billing Format
55319093003
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Family Wellness Childrens Pain Reliever 574
Non-Proprietary Name
Acetaminophen
Substance Name
Acetaminophen
Dosage Form
Suspension - A liquid1 dosage form that contains solid particles dispersed in a liquid vehicle.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
ACETAMINOPHEN 160 mg/5mL
Usage Information
This drug is used to treat mild to moderate pain (from headaches, menstrual periods, toothaches, backaches, osteoarthritis, or cold/flu aches and pains) and to reduce fever.

Regulatory & Marketing

Labeler Name
Family Dollar Services, Inc.
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-18-2024
Listing Expiration
12-31-2026
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 55319-930-03 identifies a specific commercial package of 1 bottle in 1 carton / 118 ml in 1 bottle of Family Wellness Childrens Pain Reliever 574, a human over the counter drug labeled by Family Dollar Services, Inc.. This suspension is formulated for oral use and contains acetaminophen 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 Family Dollar Services, Inc. on April 18, 2024. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

This drug is used to treat mild to moderate pain (from headaches, menstrual periods, toothaches, backaches, osteoarthritis, or cold/flu aches and pains) and to reduce fever.

How is this Family Dollar Services, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55319093003. 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)
55319-930-03
11-Digit CMS (5-4-2)
55319-0930-03

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