Agrifen Tablet
NDC Package 69729-159-12

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Agrifen (acetaminophen, aspirin, caffeine) tablets is do not use more than directeddrink a full glass of water with each doseadults and children 12 years and overtake 2 tablets every 6 hoursdo not take more than 8 tablets in 24 hourschildren under 12 years: ask a doctor. This formulation utilizes a tablet delivery system. Marketed by Opmx Llc, this product is identified by NDC 69729-159 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
69729-159-12
Package Description
1 BLISTER PACK in 1 CARTON / 12 TABLET in 1 BLISTER PACK
Product Code
11-Digit Billing Format
69729015912
RxNorm Crosswalk
  • RxCUI: 308297 - acetaminophen 250 MG / aspirin 250 MG / caffeine 65 MG Oral Tablet
  • RxCUI: 308297 - APAP 250 MG / ASA 250 MG / caffeine 65 MG Oral Tablet

Clinical Specifications

Proprietary Name
Agrifen
Non-Proprietary Name
Acetaminophen, Aspirin, Caffeine
Substance Name
Acetaminophen; Aspirin; Caffeine
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
Oral - Administration to or by way of the mouth.
Usage Information
Do not use more than directeddrink a full glass of water with each doseadults and children 12 years and overtake 2 tablets every 6 hoursdo not take more than 8 tablets in 24 hourschildren under 12 years: ask a doctor

Regulatory & Marketing

Labeler Name
Opmx Llc
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-26-2024
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 69729-159-12 identifies a specific commercial package of 1 blister pack in 1 carton / 12 tablet in 1 blister pack of Agrifen, a human over the counter drug labeled by Opmx Llc. This tablet is formulated for oral use and contains acetaminophen; aspirin; caffeine 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 Opmx Llc on January 26, 2024. The current certification is valid through December 31, 2026.

How is this Opmx Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69729015912. 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)
69729-159-12
11-Digit CMS (5-4-2)
69729-0159-12

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