Premsyn Pms Premenstrual Pain Relief Tablet
NDC Package 71687-3102-4

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Premsyn Pms Premenstrual Pain Relief (acetaminophen and pamabrom and pyrilamine maleate) tablets is adults and children 12 years and over:take 2 caplets with water every 6 hours as needed do not exceed 8 caplets in a 24 hour period or as directed by a doctor do not use more than directed (see warnings)children under 12 years: ask a doctor. This formulation utilizes a tablet delivery system. Marketed by Focus Consumer Healthcare, Llc, this product is identified by NDC 71687-3102 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
71687-3102-4
Package Description
1 BOTTLE, PLASTIC in 1 CARTON / 40 TABLET in 1 BOTTLE, PLASTIC
Product Code
71687-3102
11-Digit Billing Format
71687310204
RxNorm Crosswalk
  • RxCUI: 1052637 - acetaminophen 500 MG / pamabrom 25 MG / pyrilamine maleate 15 MG Oral Tablet
  • RxCUI: 1052637 - APAP 500 MG / pamabrom 25 MG / pyrilamine maleate 15 MG Oral Tablet
  • RxCUI: 1052641 - Premsyn PMS 500 MG / 25 MG / 15 MG Oral Tablet
  • RxCUI: 1052641 - acetaminophen 500 MG / pamabrom 25 MG / pyrilamine maleate 15 MG Oral Tablet [Premsyn PMS]
  • RxCUI: 1052641 - APAP 500 MG / pamabrom 25 MG / Pyrilamine Maleate 15 MG Oral Tablet [Premsyn PMS]

Clinical Specifications

Proprietary Name
Premsyn Pms Premenstrual Pain Relief
Non-Proprietary Name
Acetaminophen And Pamabrom And Pyrilamine Maleate
Substance Name
Acetaminophen; Pamabrom; Pyrilamine Maleate
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)
Usage Information
Adults and children 12 years and over:take 2 caplets with water every 6 hours as needed do not exceed 8 caplets in a 24 hour period or as directed by a doctor do not use more than directed (see warnings)children under 12 years: ask a doctor

Regulatory & Marketing

Labeler Name
Focus Consumer Healthcare, Llc
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-13-2017
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 71687-3102-4 identifies a specific commercial package of 1 bottle, plastic in 1 carton / 40 tablet in 1 bottle, plastic of Premsyn Pms Premenstrual Pain Relief, a human over the counter drug labeled by Focus Consumer Healthcare, Llc. This tablet is formulated for oral use and contains acetaminophen; pamabrom; 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 Focus Consumer Healthcare, Llc on October 13, 2017. The current certification is valid through December 31, 2026.

How is this Focus Consumer Healthcare, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 71687310204. 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 (5-4-1)
71687-3102-4
11-Digit CMS (5-4-2)
71687-3102-04

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