Acetaminophen 250mg Aspirin 250mg Caffeine 65mg Tablet
NDC Package 69842-591-80

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

Acetaminophen 250mg Aspirin 250mg Caffeine 65mg tablets is temporarily relieves minor aches and pains due to:Headache, a cold, arthritis, muscular aches, toothache, premenstrual and menstrual cramps. This formulation utilizes a tablet delivery system. Marketed by Cvs Pharmacy, this product is identified by NDC 69842-591 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
69842-591-80
Package Description
80 TABLET in 1 BOTTLE
Product Code
69842-591
11-Digit Billing Format
69842059180
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
80 EA
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
Acetaminophen 250mg Aspirin 250mg Caffeine 65mg
Non-Proprietary Name
Acetaminophen 250mg Aspirin 250mg Caffeine 65mg
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.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Temporarily relieves minor aches and pains due to:Headache, a cold, arthritis, muscular aches, toothache, premenstrual and menstrual cramps

Regulatory & Marketing

Labeler Name
Cvs Pharmacy
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-01-2021
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 (69842-591). Click a package code to view its specific billing and regulatory data.

69842-591-20
200 TABLET in 1 BOTTLE
69842-591-23
20 TABLET 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 69842-591-80 identifies a specific commercial package of 80 tablet in 1 bottle of Acetaminophen 250mg Aspirin 250mg Caffeine 65mg, a human over the counter drug labeled by Cvs Pharmacy. This product is billed for "EA" each discreet unit and contains an estimated amount of 80 billable units per package. 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 Cvs Pharmacy on February 01, 2021. The current certification is valid through December 31, 2026.

How is this Cvs Pharmacy product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69842059180. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 80 total billable units per package. 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)
69842-591-80
11-Digit CMS (5-4-2)
69842-0591-80

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