NDC Package 79739-7028-1 Butalbital, Acetaminophen, Caffeine, And Codeine Phosphate

View Billable Units, 11-Digit Format, RxNorm

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
79739-7028-1
Package Description:
100 CAPSULE in 1 BOTTLE, PLASTIC
Product Code:
Proprietary Name:
Butalbital, Acetaminophen, Caffeine, And Codeine Phosphate
Usage Information:
Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate Capsules are indicated for the management of the symptom complex of tension (or muscle contraction) headache when non-opioid analgesic and alternative treatments are inadequate. Limitations of UseBecause of the risks of addiction, abuse, and misuse with opioids and butalbital, even at recommended doses [see Warnings and Precautions (5.1)], reserve Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate Capsules for use in patients for whom alternative treatment options [e.g., non-opioid, non-barbiturate analgesics]:•Have not been tolerated or are not expected to be tolerated,•Have not provided adequate analgesia or are not expected to provide adequate analgesia.
11-Digit NDC Billing Format:
79739702801
NDC to RxNorm Crosswalk:
  • RxCUI: 1431286 - butalbital 50 MG / acetaminophen 300 MG / caffeine 40 MG / codeine phosphate 30 MG Oral Capsule
  • RxCUI: 1431286 - acetaminophen 300 MG / butalbital 50 MG / caffeine 40 MG / codeine phosphate 30 MG Oral Capsule
  • RxCUI: 1431286 - APAP 300 MG / butalbital 50 MG / Caffeine 40 MG / Codeine Phosphate 30 MG Oral Capsule
  • Labeler Name:
    Lgm Pharma Solutions, Llc
    Sample Package:
    No
    Start Marketing Date:
    06-10-2004
    Listing Expiration Date:
    12-31-2023
    Exclude Flag:
    I

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    79739-7028-5500 CAPSULE in 1 BOTTLE, PLASTIC

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 79739-7028-1?

    The NDC Packaged Code 79739-7028-1 is assigned to a package of 100 capsule in 1 bottle, plastic of Butalbital, Acetaminophen, Caffeine, And Codeine Phosphate, labeled by Lgm Pharma Solutions, Llc. The product's dosage form is and is administered via form.

    Is NDC 79739-7028 included in the NDC Directory?

    No, Butalbital, Acetaminophen, Caffeine, And Codeine Phosphate with product code 79739-7028 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Lgm Pharma Solutions, Llc on June 10, 2004 and its listing in the NDC Directory is set to expire on December 31, 2023 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 79739-7028-1?

    The 11-digit format is 79739702801. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-4-1 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-4-179739-7028-15-4-279739-7028-01