NDC Package 69517-104-03 Pain Reliever

View Billable Units, 11-Digit Format, RxNorm

Package Information
Other Packages
Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:

69517-104-03

Package Description:

300 TABLET, DELAYED RELEASE in 1 BOTTLE

Product Code:

69517-104

Proprietary Name:

Pain Reliever

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.

11-Digit NDC Billing Format:

69517010403

Labeler Name:

Healthlife Of Usa

Sample Package:

FDA Application Number:

M013

Marketing Category:

OTC MONOGRAPH DRUG -

Start Marketing Date:

02-09-2016

End Marketing Date:

03-31-2025

Listing Expiration Date:

03-31-2025

Exclude Flag:

Code Structure:

69517 - Healthlife Of Usa
- 69517-104 - Pain Reliever
  - 69517-104-03 - 300 TABLET, DELAYED RELEASE in 1 BOTTLE

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 disclaimer below.

Other Product Packages

The following packages are also available for this product:

NDC Package Code	Package Description
69517-104-01	1000 BOTTLE in 1 BOTTLE / 365 BOTTLE in 1 BOTTLE (69517-104-65) / 30 CARTON in 1 BOTTLE (69517-104-30) / 1 TABLET, DELAYED RELEASE in 1 CARTON
69517-104-02	2 POUCH in 1 POUCH / 2 TABLET, DELAYED RELEASE in 1 POUCH
69517-104-05	500 TABLET, DELAYED RELEASE in 1 BOTTLE
69517-104-10	1000 TABLET, DELAYED RELEASE in 1 BOTTLE
69517-104-25	25 POUCH in 1 BOX / 2 TABLET, DELAYED RELEASE in 1 POUCH
69517-104-50	50 POUCH in 1 BOX / 2 TABLET, DELAYED RELEASE in 1 POUCH
69517-104-60	1 BOTTLE in 1 CARTON / 60 TABLET, DELAYED RELEASE in 1 BOTTLE

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 69517-104-03?

The NDC Packaged Code 69517-104-03 is assigned to a package of 300 tablet, delayed release in 1 bottle of Pain Reliever, labeled by Healthlife Of Usa. The product's dosage form is and is administered via form.

Is NDC 69517-104 included in the NDC Directory?

No, Pain Reliever with product code 69517-104 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Healthlife Of Usa on February 09, 2016 and its listing in the NDC Directory is set to expire on March 31, 2025 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 69517-104-03?

The 11-digit format is 69517010403. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	69517-104-03	5-4-2	69517-0104-03

Table of Contents