Extra Strength Headache Relief Tablet, Coated
NDC Package 79903-044-20

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

Extra Strength Headache Relief (acetaminophen aspirin caffeine) tablets is uses temporarily relieves minor aches and pains due to: • headache • a cold • arthritis • muscular aches • toothache • premenstrual and menstrual cramps. This formulation utilizes a tablet, coated delivery system. Marketed by Wal-mart Stores Inc, this product is identified by NDC 79903-044 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
79903-044-20
Package Description
200 TABLET, COATED in 1 BOTTLE
Product Code
79903-044
11-Digit Billing Format
79903004420
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
Extra Strength Headache Relief
Non-Proprietary Name
Acetaminophen Aspirin Caffeine
Substance Name
Acetaminophen; Aspirin; Caffeine
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
Uses temporarily relieves minor aches and pains due to: • headache • a cold • arthritis • muscular aches • toothache • premenstrual and menstrual cramps

Regulatory & Marketing

Labeler Name
Wal-mart Stores Inc
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-09-2022
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 (79903-044). Click a package code to view its specific billing and regulatory data.

79903-044-42
1 BOTTLE in 1 CARTON / 24 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 79903-044-20 identifies a specific commercial package of 200 tablet, coated in 1 bottle of Extra Strength Headache Relief, a human over the counter drug labeled by Wal-mart Stores Inc. This tablet, coated 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 Wal-mart Stores Inc on March 09, 2022. The current certification is valid through December 31, 2026.

How is this Wal-mart Stores Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79903004420. 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)
79903-044-20
11-Digit CMS (5-4-2)
79903-0044-20

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