Acetaminophen And Codeine Phosphate
NDC Package 63187-291-04

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.

Acetaminophen And Codeine Phosphate is oral solution is indicated for the relief of mild to moderate pain. Marketed by Proficient Rx Lp, this product is identified by NDC 63187-291 and is authorized under FDA application ANDA087508.

Identification & Billing

NDC Package Code
63187-291-04
Package Description
118 mL in 1 BOTTLE
Product Code
63187-291
11-Digit Billing Format
63187029104

Clinical Specifications

Proprietary Name
Acetaminophen And Codeine Phosphate
Dosage Form
-
Usage Information
Acetaminophen and codeine phosphate oral solution is indicated for the relief of mild to moderate pain.

Regulatory & Marketing

Labeler Name
Proficient Rx Lp
FDA Application #
ANDA087508
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
08-21-1981
End Marketing Date
04-30-2025
Listing Expiration
04-30-2025
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 63187-291-04 identifies a specific commercial package of 118 ml in 1 bottle of Acetaminophen And Codeine Phosphate, labeled by Proficient Rx Lp. 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 Proficient Rx Lp on August 21, 1981. The current certification is valid through April 30, 2025.

How is this Proficient Rx Lp product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63187029104. 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)
63187-291-04
11-Digit CMS (5-4-2)
63187-0291-04

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