Aspirin 5 Grain
NDC Package 69103-2501-5

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Aspirin 5 Grain is uses:temporarily relieves pains due to:•headache • minor pain of arthritis•muscular aches • temporarily reduces fever•common cold. Marketed by Provision Medical Products, this product is identified by NDC 69103-2501 and is authorized under FDA application part343.

Identification & Billing

NDC Package Code
69103-2501-5
Package Description
250 PACKET in 1 CARTON / 2 TABLET in 1 PACKET
Product Code
69103-2501
11-Digit Billing Format
69103250105
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Aspirin 5 Grain
Dosage Form
-
Usage Information
Uses:temporarily relieves pains due to:•headache • minor pain of arthritis•muscular aches • temporarily reduces fever•common cold

Regulatory & Marketing

Labeler Name
Provision Medical Products
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
03-31-2015
Listing Expiration
12-31-2022
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (69103-2501). Click a package code to view its specific billing and regulatory data.

69103-2501-6
100 PACKET in 1 CARTON / 2 TABLET in 1 PACKET

* 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 69103-2501-5 identifies a specific commercial package of 250 packet in 1 carton / 2 tablet in 1 packet of Aspirin 5 Grain, labeled by Provision Medical Products. 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 Provision Medical Products on March 31, 2015. The current certification is valid through December 31, 2022.

How is this Provision Medical Products product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69103250105. 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 (5-4-1)
69103-2501-5
11-Digit CMS (5-4-2)
69103-2501-05

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