Butalbital, Acetaminophen and Caffeine

Product NDC: 21695-257
11-digit product format: 216950257
Labeler code: 21695
Product ID: 21695-257_6dd09be6-a345-4a42-9b64-51b7808ff45f
Type: HUMAN PRESCRIPTION DRUG
Nonproprietary name: Butalbital, Acetaminophen and Caffeine
Dosage form: TABLET
Route: ORAL
Labeler: Rebel Distributors Corp.
Application: ANDA040336
Marketing category: ANDA
Marketing start: 2009-12-15
Marketing end: 0000-00-00
Substance: BUTALBITAL; ACETAMINOPHEN; CAFFEINE
Active strength: 50 mg/1; mg/1; mg/1
Pharmacologic classes: Barbiturates [CS],Barbiturate [EPC],Central Nervous System Stimulant [EPC],Methylxanthine [EPC],Xanthines [CS],Central Nervous System Stimulation [PE]
NDC exclude flag: E
Listing certified through: 2017-12-31
Current FDA listing: Historical FDA.report record

NDC auxiliary status#

These records are reproduced from FDA’s unfinished, excluded, and compounder listings. They describe what appeared in the source files; a missing record does not establish a regulatory status. View all current auxiliary records, including entries without an NDC. · View the auxiliary file history.

Current NDC status page 1 of 1 · 5 matching rows.

Dataset, Scope, Product NDC table
Dataset	Scope	Product NDC	Package NDC	Code	Status	Source date
excluded product	product	21695-257		I	Inactivated by FDA	2026-10-15
excluded package	package	21695-257	21695-257-08	I	Inactivated by FDA	2026-10-15
excluded package	package	21695-257	21695-257-28	I	Inactivated by FDA	2026-10-15
excluded package	package	21695-257	21695-257-30	I	Inactivated by FDA	2026-10-15
excluded package	package	21695-257	21695-257-60	I	Inactivated by FDA	2026-10-15

Observed NDC auxiliary status history#

This history shows the information present in each captured FDA auxiliary file. It is not a continuous regulatory timeline, and a missing record does not establish a status.

Historic NDC status page 1 of 2 · 110 matching rows.

View current auxiliary records. · View the auxiliary file history.

Captured / source date, Dataset, Scope table
Captured / source date	Dataset	Scope	Package NDC	Snapshot	Source SHA-256
2025-12-14 17:58 UTC · source 2025-12-05	excluded product	product		`d630ba8d3edf…`	`732f749b63fb…`
2025-12-14 17:58 UTC · source 2025-12-05	excluded package	package	21695-257-28	`d630ba8d3edf…`	`732f749b63fb…`
2025-12-14 17:58 UTC · source 2025-12-05	excluded package	package	21695-257-30	`d630ba8d3edf…`	`732f749b63fb…`
2025-12-14 17:58 UTC · source 2025-12-05	excluded package	package	21695-257-08	`d630ba8d3edf…`	`732f749b63fb…`
2025-12-14 17:58 UTC · source 2025-12-05	excluded package	package	21695-257-60	`d630ba8d3edf…`	`732f749b63fb…`
2025-08-27 00:01 UTC · source 2025-08-26	excluded product	product		`f5e01cc5f278…`	`a2eaf40c39c3…`
2025-08-27 00:01 UTC · source 2025-08-26	excluded package	package	21695-257-28	`f5e01cc5f278…`	`a2eaf40c39c3…`
2025-08-27 00:01 UTC · source 2025-08-26	excluded package	package	21695-257-30	`f5e01cc5f278…`	`a2eaf40c39c3…`
2025-08-27 00:01 UTC · source 2025-08-26	excluded package	package	21695-257-08	`f5e01cc5f278…`	`a2eaf40c39c3…`
2025-08-27 00:01 UTC · source 2025-08-26	excluded package	package	21695-257-60	`f5e01cc5f278…`	`a2eaf40c39c3…`
2025-04-01 02:39 UTC · source 2025-03-31	excluded product	product		`2ef7874e63bc…`	`57b86245f4fa…`
2025-04-01 02:39 UTC · source 2025-03-31	excluded package	package	21695-257-28	`2ef7874e63bc…`	`57b86245f4fa…`
2025-04-01 02:39 UTC · source 2025-03-31	excluded package	package	21695-257-30	`2ef7874e63bc…`	`57b86245f4fa…`
2025-04-01 02:39 UTC · source 2025-03-31	excluded package	package	21695-257-08	`2ef7874e63bc…`	`57b86245f4fa…`
2025-04-01 02:39 UTC · source 2025-03-31	excluded package	package	21695-257-60	`2ef7874e63bc…`	`57b86245f4fa…`
2025-03-28 20:22 UTC · source 2025-03-28	excluded product	product		`a1b67e2a42f9…`	`c4cf2c586c0d…`
2025-03-28 20:22 UTC · source 2025-03-28	excluded package	package	21695-257-28	`a1b67e2a42f9…`	`c4cf2c586c0d…`
2025-03-28 20:22 UTC · source 2025-03-28	excluded package	package	21695-257-30	`a1b67e2a42f9…`	`c4cf2c586c0d…`
2025-03-28 20:22 UTC · source 2025-03-28	excluded package	package	21695-257-08	`a1b67e2a42f9…`	`c4cf2c586c0d…`
2025-03-28 20:22 UTC · source 2025-03-28	excluded package	package	21695-257-60	`a1b67e2a42f9…`	`c4cf2c586c0d…`
2025-03-22 03:12 UTC · source 2025-03-21	excluded product	product		`cfe11265f3b6…`	`090c488252e2…`
2025-03-22 03:12 UTC · source 2025-03-21	excluded package	package	21695-257-28	`cfe11265f3b6…`	`090c488252e2…`
2025-03-22 03:12 UTC · source 2025-03-21	excluded package	package	21695-257-30	`cfe11265f3b6…`	`090c488252e2…`
2025-03-22 03:12 UTC · source 2025-03-21	excluded package	package	21695-257-08	`cfe11265f3b6…`	`090c488252e2…`
2025-03-22 03:12 UTC · source 2025-03-21	excluded package	package	21695-257-60	`cfe11265f3b6…`	`090c488252e2…`
2025-03-10 12:48 UTC · source 2025-03-10	excluded product	product		`cdf11ea48f46…`	`ba0047e9e063…`
2025-03-10 12:48 UTC · source 2025-03-10	excluded package	package	21695-257-28	`cdf11ea48f46…`	`ba0047e9e063…`
2025-03-10 12:48 UTC · source 2025-03-10	excluded package	package	21695-257-30	`cdf11ea48f46…`	`ba0047e9e063…`
2025-03-10 12:48 UTC · source 2025-03-10	excluded package	package	21695-257-08	`cdf11ea48f46…`	`ba0047e9e063…`
2025-03-10 12:48 UTC · source 2025-03-10	excluded package	package	21695-257-60	`cdf11ea48f46…`	`ba0047e9e063…`
2025-02-02 03:52 UTC · source 2025-01-31	excluded product	product		`302b2466d912…`	`e7b80fea0513…`
2025-02-02 03:52 UTC · source 2025-01-31	excluded package	package	21695-257-28	`302b2466d912…`	`e7b80fea0513…`
2025-02-02 03:52 UTC · source 2025-01-31	excluded package	package	21695-257-30	`302b2466d912…`	`e7b80fea0513…`
2025-02-02 03:52 UTC · source 2025-01-31	excluded package	package	21695-257-08	`302b2466d912…`	`e7b80fea0513…`
2025-02-02 03:52 UTC · source 2025-01-31	excluded package	package	21695-257-60	`302b2466d912…`	`e7b80fea0513…`
2025-01-20 13:05 UTC · source 2025-01-20	excluded product	product		`ed331223b511…`	`672a5bd82f5f…`
2025-01-20 13:05 UTC · source 2025-01-20	excluded package	package	21695-257-28	`ed331223b511…`	`672a5bd82f5f…`
2025-01-20 13:05 UTC · source 2025-01-20	excluded package	package	21695-257-30	`ed331223b511…`	`672a5bd82f5f…`
2025-01-20 13:05 UTC · source 2025-01-20	excluded package	package	21695-257-08	`ed331223b511…`	`672a5bd82f5f…`
2025-01-20 13:05 UTC · source 2025-01-20	excluded package	package	21695-257-60	`ed331223b511…`	`672a5bd82f5f…`
2025-01-11 03:41 UTC · source 2025-01-10	excluded product	product		`0efc9e666f02…`	`f202fb6c5f17…`
2025-01-11 03:41 UTC · source 2025-01-10	excluded package	package	21695-257-28	`0efc9e666f02…`	`f202fb6c5f17…`
2025-01-11 03:41 UTC · source 2025-01-10	excluded package	package	21695-257-30	`0efc9e666f02…`	`f202fb6c5f17…`
2025-01-11 03:41 UTC · source 2025-01-10	excluded package	package	21695-257-08	`0efc9e666f02…`	`f202fb6c5f17…`
2025-01-11 03:41 UTC · source 2025-01-10	excluded package	package	21695-257-60	`0efc9e666f02…`	`f202fb6c5f17…`
2024-11-09 02:27 UTC · source 2024-11-08	excluded product	product		`ad56d346431e…`	`cc804d4bbf1e…`
2024-11-09 02:27 UTC · source 2024-11-08	excluded package	package	21695-257-28	`ad56d346431e…`	`cc804d4bbf1e…`
2024-11-09 02:27 UTC · source 2024-11-08	excluded package	package	21695-257-30	`ad56d346431e…`	`cc804d4bbf1e…`
2024-11-09 02:27 UTC · source 2024-11-08	excluded package	package	21695-257-08	`ad56d346431e…`	`cc804d4bbf1e…`
2024-11-09 02:27 UTC · source 2024-11-08	excluded package	package	21695-257-60	`ad56d346431e…`	`cc804d4bbf1e…`
2024-10-04 04:10 UTC · source 2024-10-03	excluded product	product		`367a005e9d99…`	`383a685ebd0f…`
2024-10-04 04:10 UTC · source 2024-10-03	excluded package	package	21695-257-28	`367a005e9d99…`	`383a685ebd0f…`
2024-10-04 04:10 UTC · source 2024-10-03	excluded package	package	21695-257-30	`367a005e9d99…`	`383a685ebd0f…`
2024-10-04 04:10 UTC · source 2024-10-03	excluded package	package	21695-257-08	`367a005e9d99…`	`383a685ebd0f…`
2024-10-04 04:10 UTC · source 2024-10-03	excluded package	package	21695-257-60	`367a005e9d99…`	`383a685ebd0f…`
2024-07-10 04:00 UTC · source 2024-07-09	excluded product	product		`557ba5c1ecfa…`	`9c80585c8c6e…`
2024-07-10 04:00 UTC · source 2024-07-09	excluded package	package	21695-257-28	`557ba5c1ecfa…`	`9c80585c8c6e…`
2024-07-10 04:00 UTC · source 2024-07-09	excluded package	package	21695-257-30	`557ba5c1ecfa…`	`9c80585c8c6e…`
2024-07-10 04:00 UTC · source 2024-07-09	excluded package	package	21695-257-08	`557ba5c1ecfa…`	`9c80585c8c6e…`
2024-07-10 04:00 UTC · source 2024-07-09	excluded package	package	21695-257-60	`557ba5c1ecfa…`	`9c80585c8c6e…`

Source provenance: Browse the complete Orange Book source catalog · source snapshot 44.

Orange Book products#

Current product rows page 1 of 1 · 1 matching rows.

Application-product, Trade name, Ingredient table
Application-product	Trade name	Ingredient	Strength	Dosage form / route	TE codes	RLD / RS	Approval date
A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	ACETAMINOPHEN; BUTALBITAL; CAFFEINE	500MG;50MG;40MG	TABLET / ORAL			1999-08-18

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 2 · 44 observed states.

Captured, Edition, Application-product table
Captured	Edition	Application-product	Trade name	Strength	Dosage form / route	Approval date	Source SHA-256
2026-10-15 13:18:30	2026-09	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`c2088c7a36db…`
2026-09-14 22:38:34	2026-08	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`84e616aacf4f…`
2026-08-18 06:07:40	2026-07	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`caaa826d4ba7…`
2026-02-19 14:30 UTC	2026-02	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`011fe1cb6892…`
2025-12-14 10:44 UTC · 2 captures of this ZIP	2025-12	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`31067a03dcf5…`
2025-08-23 18:47 UTC	2025-08	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`6a471c1ec25d…`
2025-03-22 03:13 UTC · 3 captures of this ZIP	2025-03	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`fd3edfee7708…`
2025-02-26 10:13 UTC · 3 captures of this ZIP	2025-02	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`b8a1b40f171c…`
2025-01-19 17:59 UTC · 7 captures of this ZIP	2025-01	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`03ed91905a0d…`
2024-12-13 21:23 UTC · 2 captures of this ZIP	2024-12	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`2680178bc6a6…`
2024-09-14 05:58 UTC · 2 captures of this ZIP	2024-09	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`5bbf6a4d5a75…`
2024-11-08 22:44 UTC · 3 captures of this ZIP	2024-11	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`d8e5a09893c0…`
2024-10-29 15:01 UTC	2024-10	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`d06236e962d9…`
2024-08-13 05:28 UTC · 3 captures of this ZIP	2024-08	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`79d66fd596c7…`
2024-07-13 05:37 UTC · 2 captures of this ZIP	2024-07	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`301d65b070ca…`
2024-06-18 03:08 UTC · 5 captures of this ZIP	2024-06	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`1e350fbaab3a…`
2024-05-31 18:47 UTC	2024-05	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`8072bd15b7f6…`
2022-06-29 02:47 UTC · 2 captures of this ZIP	2022-06	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`5c6f7cd8ea54…`
2022-04-08 23:34 UTC	2022-04	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`5d02ea3f76ae…`
2022-04-04 05:41 UTC	2022-04	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`4b0b4de00fa7…`
2019-12-13 00:20 UTC	2019-12	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`74a2ff9319b5…`
2022-03-09 01:35 UTC	2022-03	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`bb7c543d1eb4…`
2021-12-28 21:50 UTC	2021-12	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`782e0a99824c…`
2021-05-05 16:15 UTC · 3 captures of this ZIP	2021-05	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`87673890dc5c…`
2021-03-12 10:30 UTC	2021-03	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`5aa47cf7b7d7…`
2020-12-22 03:56 UTC	2020-12	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`8869cabd3fbd…`
2020-11-12 02:37 UTC	2020-11	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`c0c555d07b60…`
2019-12-14 00:12 UTC	2019-12	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`3f01610625f2…`
2019-09-15 20:21 UTC	2019-09	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`b00525d2431f…`
2019-07-19 19:46 UTC	2019-07	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`ea99ee380514…`
2024-03-16 18:09 UTC · 4 captures of this ZIP	2024-03	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`6a51e52b5d6a…`
2024-02-18 07:12 UTC	2024-02	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`1c564ffb4f44…`
2023-12-20 04:57 UTC	2023-12	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`ea1830bbd6c7…`
2023-11-28 05:40 UTC · 2 captures of this ZIP	2023-11	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`a72a2bbeb626…`
2023-10-25 00:34 UTC · 2 captures of this ZIP	2023-10	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`9b2671bbb829…`
2023-07-15 15:27 UTC · 2 captures of this ZIP	2023-07	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`a67488948f0b…`
2023-06-13 01:57 UTC · 3 captures of this ZIP	2023-06	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`3f0d92c62455…`
2023-05-13 08:27 UTC	2023-05	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`053a50430f4f…`
2023-01-26 05:58 UTC	2023-01	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`3bdfa0b2c4d7…`
2022-11-12 20:34 UTC · 5 captures of this ZIP	2022-11	A040336-001	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE	500MG;50MG;40MG	TABLET / ORAL	1999-08-18	`3a93d1ddd44b…`

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.

DailyMed Product Concepts#

Product concept, Relation, Version table
Product concept	Relation	Version	Effective
7dea7767-9f52-b60a-5435-33cb9cc28bae	Product name	4	20250124
6338270f-96cb-0ecb-6fbb-0a9bc78001f4	Product name	7	20250116
11939cf5-0ea7-5df5-5127-00a7ce07fd7f	Product name	5	20250115
0ca83774-3f79-b837-5d6f-c210102f3bc8	Product name	6	20250114
88300afc-e1c4-ad17-c80b-4957f1b809a5	Product name	5	20250113
79e1734e-f721-4d46-978a-be382f771672	Product name	2	20230110
41b814f3-0166-1c53-c9ef-a0794c7daf9d	Product name	3	20221110
a590be26-846c-8659-a5a1-fb25907965dc	Product name	2	20221110
2dc76302-91c0-4c35-ad78-99adfb049c4b	Product name	1	20200603
103b151b-b17f-42ac-8624-3ef62f5e2975	Product name	2	20200507
e6065d4b-5ae1-476f-a40e-f2851cbb5d2b	Product name	2	20180221
f212291f-05fe-9603-fc7e-bd73e38ce1e6	Product name	2	20161129
182f9ab4-4ab5-c449-200f-87ce2ce8e550	Product name	2	20151105
332e86c3-7875-ca6e-f934-2206d2b31996	Product name	1	20140508
3ed6b849-48b8-8899-c288-6eeb396123b6	Product name	1	20140508
56625fcc-aa34-9d30-d0e9-1c1beb37ea21	Product name	1	20140508
7dfac40f-a405-cd2e-7c06-3059ec0e1092	Product name	1	20140508
96c2be53-8e44-452d-56a2-d255b2f1af2d	Product name	1	20140508
bf8bd5f7-495f-4022-2780-7ded7ea7ea44	Product name	1	20140508
d223c173-c39b-d764-47d4-d671d3088815	Product name	1	20140508
e01133ad-4dcd-c7f3-454b-2ff569ee160a	Product name	1	20140508

FDA-Initiated Inactive NDC Indexing#

NDC, Related label table
NDC	Related label
21695-257-08	Butalbital, Acetaminophen, and Caffeine Tablets, USP 50 mg/500 mg/40 mg Rx Only Rev. 11/03
21695-257-28	Butalbital, Acetaminophen, and Caffeine Tablets, USP 50 mg/500 mg/40 mg Rx Only Rev. 11/03
21695-257-30	Butalbital, Acetaminophen, and Caffeine Tablets, USP 50 mg/500 mg/40 mg Rx Only Rev. 11/03
21695-257-60	Butalbital, Acetaminophen, and Caffeine Tablets, USP 50 mg/500 mg/40 mg Rx Only Rev. 11/03

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDC	Product	Description	Form	Quantity	SPL version
21695-257-08	Butalbital, Acetaminophen and Caffeine	8 in 1 BOTTLE	TABLET	8	1
21695-257-28	Butalbital, Acetaminophen and Caffeine	28 in 1 BOTTLE	TABLET	28	1
21695-257-30	Butalbital, Acetaminophen and Caffeine	30 in 1 BOTTLE	TABLET	30	1
21695-257-60	Butalbital, Acetaminophen and Caffeine	60 in 1 BOTTLE	TABLET	60	1

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDC	Billing unit	Product NDC	DailyMed indexing SPL	SPL version	Effective
21695-257-08	EA - Each	21695-257	5d4c7d45-7c2e-4c74-8b71-5f77fe111f2b	1	2012-07-24
21695-257-28	EA - Each	21695-257	2bfac520-e3e7-400b-95dc-29aff3b52512	1	2012-07-24
21695-257-30	EA - Each	21695-257	61fc1c9a-8f2f-4891-b469-52de262a932d	1	2012-07-24
21695-257-60	EA - Each	21695-257	49b934bc-9db1-4d90-b194-ac9295faf00c	1	2012-07-24

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
Ingredient	Type	UNII	DailyMed label	SPL version
ACETAMINOPHEN	ACTIVE INGREDIENT	362O9ITL9D	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
BUTALBITAL	ACTIVE INGREDIENT	KHS0AZ4JVK	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
CAFFEINE	ACTIVE INGREDIENT	3G6A5W338E	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
ACETAMINOPHEN	ACTIVE MOIETY	362O9ITL9D	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
BUTALBITAL	ACTIVE MOIETY	KHS0AZ4JVK	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
CAFFEINE	ACTIVE MOIETY	3G6A5W338E	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
CELLULOSE, MICROCRYSTALLINE	INACTIVE INGREDIENT	OP1R32D61U	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
COLLOIDAL SILICON DIOXIDE	INACTIVE INGREDIENT	ETJ7Z6XBU4	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
CROSCARMELLOSE SODIUM	INACTIVE INGREDIENT	M28OL1HH48	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
MAGNESIUM STEARATE	INACTIVE INGREDIENT	70097M6I30	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
POVIDONE	INACTIVE INGREDIENT	FZ989GH94E	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
STARCH, CORN	INACTIVE INGREDIENT	O8232NY3SJ	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1
STEARIC ACID	INACTIVE INGREDIENT	4ELV7Z65AP	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDC	Dashboard title	SPL version	Validation	Dashboard ZIP
21695-257	BUTALBITAL, ACETAMINOPHEN AND CAFFEINE TABLET [REBEL DISTRIBUTORS CORP.]	1	Legacy NDC, 4 package rows	20110314_6dd09be6-a345-4a42-9b64-51b7808ff45f.zip

UNII, Preferred term, Registry number table
UNII	Preferred term	Registry number	Matched term
KHS0AZ4JVK	BUTALBITAL	77-26-9	BUTALBITAL
362O9ITL9D	ACETAMINOPHEN	103-90-2	ACETAMINOPHEN
3G6A5W338E	CAFFEINE	58-08-2	CAFFEINE

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUI	RxNorm string	TTY	DailyMed	SPL version
240093	butalbital 50 MG / acetaminophen 500 MG / caffeine 40 MG Oral Tablet	PSN	6dd09be6-a345-4a42-9b64-51b7808ff45f	1
240093	acetaminophen 500 MG / butalbital 50 MG / caffeine 40 MG Oral Tablet	SCD	6dd09be6-a345-4a42-9b64-51b7808ff45f	1
240093	APAP 500 MG / butalbital 50 MG / caffeine 40 MG Oral Tablet	SY	6dd09be6-a345-4a42-9b64-51b7808ff45f	1

Packages#

Package NDC, 11-digit format, Description table
Package NDC	11-digit format	Description	Status
21695-257-08	21695025708	8 in 1 BOTTLE	Historical
21695-257-28	21695025728	28 in 1 BOTTLE	Historical
21695-257-30	21695025730	30 in 1 BOTTLE	Historical
21695-257-60	21695025760	60 in 1 BOTTLE	Historical

Title, Manufacturer, Effective date table
Title	Manufacturer	Effective date	Type	Version
Butalbital, Acetaminophen, and Caffeine Tablets, USP 50 mg/500 mg/40 mg Rx Only Rev. 11/03	Rebel Distributors Corp.	2010-09-20	HUMAN PRESCRIPTION DRUG LABEL	1