Pain Reliever Pm
NDC Package 69517-113-50

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 discontinued by the firm.

Pain Reliever Pm is a . Marketed by Healthlife Of Usa, this product is identified by NDC 69517-113 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
69517-113-50
Package Description
50 POUCH in 1 BOX / 2 TABLET in 1 POUCH
Product Code
69517-113
11-Digit Billing Format
69517011350

Clinical Specifications

Proprietary Name
Pain Reliever Pm
Dosage Form
-

Regulatory & Marketing

Labeler Name
Healthlife Of Usa
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-09-2016
End Marketing Date
12-31-2021
Listing Expiration
12-31-2021
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (69517-113). Click a package code to view its specific billing and regulatory data.

69517-113-02
2 POUCH in 1 POUCH / 2 TABLET in 1 POUCH
69517-113-10
1000 BOTTLE in 1 BOTTLE / 500 BOTTLE in 1 BOTTLE (69517-113-05) / 30 CARTON in 1 BOTTLE (69517-113-30) / 1 TABLET in 1 CARTON
69517-113-25
25 POUCH in 1 BOX / 2 TABLET in 1 POUCH

* 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 69517-113-50 identifies a specific commercial package of 50 pouch in 1 box / 2 tablet in 1 pouch of Pain Reliever Pm, labeled by Healthlife Of Usa. 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 Healthlife Of Usa on February 09, 2016. The current certification is valid through December 31, 2021.

How is this Healthlife Of Usa product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69517011350. 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)
69517-113-50
11-Digit CMS (5-4-2)
69517-0113-50

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