Menstrual Complete Tablet, Coated
NDC Package 69517-130-24

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

Menstrual Complete tablets is do not exceed recommended dosage.Adults and children 12 years and over: Take 2 tablets with water. This formulation utilizes a tablet, coated delivery system. Marketed by Healthlife Of Usa, this product is identified by NDC 69517-130 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
69517-130-24
Package Description
24 TABLET, COATED in 1 BOTTLE
Product Code
69517-130
11-Digit Billing Format
69517013024
RxNorm Crosswalk
  • RxCUI: 1597298 - acetaminophen 500 MG / caffeine 60 MG / pyrilamine maleate 15 MG Oral Tablet
  • RxCUI: 1597298 - APAP 500 MG / Caffeine 60 MG / Pyrilamine Maleate 15 MG Oral Tablet

Clinical Specifications

Proprietary Name
Menstrual Complete
Non-Proprietary Name
Menstrual Complete
Substance Name
Acetaminophen; Caffeine; Pyrilamine Maleate
Dosage Form
Tablet, Coated - A solid dosage form that contains medicinal substances with or without suitable diluents and is covered with a designated coating.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Do not exceed recommended dosage.Adults and children 12 years and over: Take 2 tablets with water. Repeat every 6 hours, as needed. Do not exceed 6 tablets per dayChildren under 12 years: Consult a doctor

Regulatory & Marketing

Labeler Name
Healthlife Of Usa
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-31-2017
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (69517-130). Click a package code to view its specific billing and regulatory data.

69517-130-20
1 BOTTLE in 1 CARTON / 20 TABLET, COATED in 1 BOTTLE

* 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 69517-130-24 identifies a specific commercial package of 24 tablet, coated in 1 bottle of Menstrual Complete, a human over the counter drug labeled by Healthlife Of Usa. This tablet, coated is formulated for oral use and contains acetaminophen; caffeine; pyrilamine maleate 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 Healthlife Of Usa on May 31, 2017. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69517013024. 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)
69517-130-24
11-Digit CMS (5-4-2)
69517-0130-24

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