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Medi First Pain Ache Aspirin,Caffeine 500 mg; 32.5 mg Tablet, Film Coated — NDC 47682-0821-36 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Medi First Pain Ache Aspirin,Caffeine 500 mg; 32.5 mg Tablet, Film Coated — NDC 47682-821-36 (Billing 47682-0821-36)

by Unifirst First Aid Corporation · 75 PACKET in 1 BOX / 2 TABLET, FILM COATED in 1 PACKET

This is a package of Medi First Pain Ache Aspirin,Caffeine 500 mg; 32.5 mg Tablet, Film Coated from Unifirst First Aid Corporation, marketed since Sep 2022 and currently FDA-listed. It is the main listing for this product, which comes in 3 package sizes.

NDC 47682-0821-36
🏷️ FDA NDC (as labeled) 47682-821-36 billing pads the product segment with a zero
This package
Contains2 tablet, film coated in 1 packet Pack sizes3 compare ↓
Main listing for product 47682-821 · Also comes in: 2 tablets 47682-821-80 2 tablets 47682-821-99
OTC On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Oct 1, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 47682-821-36
Product NDC 47682-821
11-digit billing NDC 47682082136
RxCUI 702316
UNII 3G6A5W338E, R16CO5Y76E
UPC 0347682921804, 0347682821807
Application # M013
SPL Set ID e82d02d5-3e44-a8f8-e053-2a95a90a2688
Established class (EPC) Central Nervous System Stimulant; Methylxanthine; Nonsteroidal Anti-inflammatory Drug; Platelet Aggregation Inhibitor
Mechanism of action Cyclooxygenase Inhibitors
Physiologic effect Central Nervous System Stimulation; Decreased Prostaglandin Production; Decreased Platelet Aggregation
Chemical class Xanthines; Anti-Inflammatory Agents, Non-Steroidal
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2022-09-26
Route ORAL
Dosage form TABLET, FILM COATED
Substance ASPIRIN; CAFFEINE
Quick answers
  • RxCUI (RxNorm): 702316
Why two NDCs? The FDA registers this code as 47682-821-36 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 47682-0821-36. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Platelet Aggregation Inhibitor class.

Pharmacologic class Platelet Aggregation Inhibitor, Nonsteroidal Anti-inflammatory Drug
Drug family (ATC) Other agents for local oral treatment, Platelet aggregation inhibitors excl. heparin, Salicylic acid and derivatives
How it works Cyclooxygenase Inhibitors
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

🧪 What is this product?

Medi First Pain Ache is an oral film-coated tablet sold over the counter containing aspirin and caffeine. Aspirin is a nonsteroidal anti-inflammatory agent typically used to reduce pain and inflammation. Caffeine is a central nervous system stimulant commonly added to pain relief products, where it functions to enhance the effect of the pain reliever. This product is marketed under the FDA's OTC monograph rules for pain relief tablets.

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eachPer package
Retail pharmacies payNADAC · weekly Not in the retail survey — common for institutional, discontinued, or low-volume packs.
Medicaid paysCMS SDUD · 12 mo No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data.
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
ℹ️
No price is published for this exact package yet. CMS surveys NADAC per package size, so a different pack of the same drug often has one.
Try another pack size: 2 tablets 2 tablets
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
47682-0821-36 You're viewing this Main listing 75 PACKET in 1 BOX / 2 TABLET, FILM COATED in 1 PACKET 2022-12-12 — Active
47682-0821-80 47682-821-80 40 PACKET in 1 BOX / 2 TABLET, FILM COATED in 1 PACKET 2022-09-26 — Active
47682-0821-99 47682-821-99 2 TABLET, FILM COATED in 1 PACKET 2022-09-26 — Active

Pack size FAQ

What quantity is in this package?
This package is listed by the FDA — 75 packet in 1 box / 2 tablet, film coated in 1 packet.
What NDC number is used to bill for this package of Medi First Pain Ache Aspirin,Caffeine 500 mg; 32.5 mg Tablet, Film Coated?
Use the 11-digit billing form listed in the identifiers section of this page. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Bayer Headache 500 mg/1; 32.5 mg 00280-0064-01 Bayer 100 tablets — — FDA listed —
Aspirina Cafeina 32.5 mg/1; 500 mg 00280-0162-01 Bayer 24 tablets — — FDA listed —
Bayer Back and Body Extra Strength 35.5 mg/1; 500 mg 00280-2150-02 Bayer 200 tablets — — FDA listed —
pain relief back and body EXTRA STRENGTH 500 mg/1; 32.5 mg 11822-4130-02 Rite 100 tablets — — FDA listed —
Back and Body 500 mg/1; 32.5 mg 30142-0654-12 Kroger 100 tablets — — FDA listed —
Back and Body Extra Strength 500 mg/1; 32.5 mg 41250-0143-12 Meijer 100 tablets — — FDA listed —
Green Guard Extra Strength Pain Relief 500 mg/1; 32.5 mg 47682-0048-80 Unifirst 2 tablets — — FDA listed —
Medi First Pain Ache 500 mg/1; 32.5 mgthis 47682-0821-36 Unifirst 2 tablets — — FDA listed —
Medi First Plus Pain Ache 500 mg/1; 32.5 mg 47682-0921-36 Unifirst 2 tablets — — FDA listed —
Back and Body Extra Strength 500 mg/1; 32.5 mg 50844-0413-08 L.N.K. 24 tablets — — FDA listed —
AeroTab Pain Reliever 500 mg/1; 32.5 mg 55305-0135-01 Aero 2 tablets — — FDA listed —
Back and Body Extra Strength 500 mg/1; 32.5 mg 55910-0134-15 DOLGENCORP, 50 tablets — — FDA listed —
Back and Body Extra Strength 500 mg/1; 32.5 mg 59779-0143-12 CVS 100 tablets — — FDA listed —
Back and Body Pain Relief 500 mg/1; 32.5 mg 67091-0430-50 WinCo 50 tablets — — FDA listed —
Back and Body Extra Strength 500 mg/1; 32.5 mg 70000-0127-01 Cardinal 50 tablets — — Discontinued —
Thompson XS Pain Ache 32.5 mg/1; 500 mg 73408-0821-80 Thompson 2 tablets — — FDA listed —
About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2022
On the market since
Sep 2022
📍
2026
Currently FDA-listed
4 years listed
🔒
·
No generic listed yet
brand only
ℹ️No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

What it looks like

Color white
ShapeCapsule
Imprint44;413
Size17 mm
ScoringNot scored
One label can cover several strengths, so colors may be combined — always confirm a loose pill against the dispensed prescription label or a pharmacist.
Where does this data come from?
Physical description (imprint, shape, color, scoring, coating) from this product’s FDA Structured Product Labeling (SPL), mirrored from DailyMed / openFDA.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

Loading inactive ingredients from the official FDA label in the background. No external source is being called by this page request.
Where does this data come from?
Source: official FDA Structured Product Labeling (SPL) via DailyMed and the openFDA label index. Structured IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerUnifirst First Aid Corporation
FDA applicationM013 (OTC MONOGRAPH DRUG)
Labeler code47682
First marketedSep 2022
Product typeHuman Otc Drug
Portfolio183 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Do Not Use 📄 Ask a Doctor Before Use If 📄 Ask a Doctor or Pharmacist Before Use If 📄 Stop Use and Ask a Doctor If 🤰 If Pregnant or Breast-Feeding 📄 Keep Out of Reach of Children 📄 Other Information 📄 Questions or Comments 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 21 words ▾

Uses for the temporary relief of ■ backache pain ■ muscle aches and pains ■ minor aches and pains of arthritis

⏱️ Dosage and Administration 44 words ▾

Directions ■ drink a full glass of water with each dose Adults and children (12 years and over): take 2 caplets every 6 hours, not to exceed 8 caplets in 24 hours Children under 12 years: do not use unless directed by a doctor

⚠️ Warnings 156 words ▾

Warnings Reye's syndrome: Children and teenagers who have or are recovering from chicken pox or flu-like symptoms should not use this product. When using this product, if changes in behavior with nausea and vomiting occur, consult a doctor because these symptoms could be an early sign of Reye's syndrome, a rare but serious illness. Allergy alert: Aspirin may cause a severe allergic reaction which may include: ■ hives ■ shock ■ facial swelling ■ asthma (wheezing) Stomach bleeding warning: This product contains an NSAID, which may cause severe stomach bleeding.

The chance is higher if you ■ take more or for a longer time than directed ■ take a blood thinning (anticoagulant) or steroid drug ■ are age 60 or older ■ have 3 or more alcohol drinks every day while using this product ■ have had stomach ulcers or bleeding problems ■ take other drugs containing prescription or nonprescription NSAIDs (aspirin, ibuprofen, naproxen, or others)

🧪 Active Ingredient 15 words ▾

Active ingredients (in each caplet) ​Aspirin (NSAID)* 500 mg Caffeine 32.5 mg *nonsteroidal anti-inflammatory drug

🧪 Inactive Ingredients 13 words ▾

Inactive ingredients corn starch, hypromellose, maltodextrin, microcrystalline cellulose, polyethylene glycol, sodium lauryl sulfate

🎯 Purpose 6 words ▾

Purpose Pain reliever Pain reliever aid

📄 Do Not Use 33 words ▾

Do not use ■ if you are allergic to aspirin or any other pain reliever/fever reducer. ■ if you have ever had an allergic reaction to this product or any of its ingredients

📄 Ask a Doctor Before Use If 47 words ▾

Ask a doctor before use if ■ stomach bleeding warning applies to you ■ you have a history of stomach problems, such as heartburn ■ you have asthma ■ you have high blood pressure, heart disease, liver cirrhosis, or kidney disease ■ you are taking a diuretic

📄 Ask a Doctor or Pharmacist Before Use If 21 words ▾

Ask a doctor or pharmacist before use if you are taking a prescription drug for ■ gout ■ diabetes ■ arthritis

📄 Stop Use and Ask a Doctor If 98 words ▾

Stop use and ask a doctor if ■ an allergic reaction occurs. Seek medical help right away. ■ you experience any of the following signs of stomach bleeding: ■ vomit blood ■ have bloody or black stools ■ feel faint ■ have stomach pain that does not get better ■ ringing in the ears or a loss of hearing occurs ■ pain gets worse or lasts more than 10 days ■ fever gets worse or lasts more than 3 days ■ redness or swelling is present ■ new symptoms occur These could be signs of a serious condition.

🤰 If Pregnant or Breast-Feeding 47 words ▾

If pregnant or breast-feeding, ask a health professional before use. It is especially important not to use aspirin at 20 weeks or later in pregnancy unless specifically directed to do so by a doctor because it may cause problems in the unborn child or complications during delivery.

📄 Keep Out of Reach of Children 22 words ▾

Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center (1-800-222-1222) right away.

📄 Other Information 26 words ▾

Other information ■ store at 25°C (77°F); excursions permitted between 15°-30°C (59°-86°F) ■ tamper evident sealed packets ■ do not use any opened or torn packets

📄 Questions or Comments 4 words ▾

Questions or comments? 1-800-634-7680

📄 Package Label / Principal Display Panel 94 words ▾

Medi-First® Pain & Ache Pain Reliever • Aspirin (NSAID) 500 mg Pain Reliever Aid • Caffeine 32.5 mg Fast Acting Advanced Formula Pull to Open This Package is for Households Without Young Children. Tamper Evident Unit Dose Packets 80 Caplets (40 x 2) Medi-First

Medi-First® Plus Pain & Ache Pain Reliever • Aspirin (NSAID) 500 mg Pain Reliever Aid • Caffeine 32.5 mg Extra Strength Pain Relief Fast Acting Advanced Formula Pull to Open This Package is for Households Without Young Children. Tamper Evident Unit Dose Packets 80 Caplets (40 x 2's) Medi-Hirst Plus

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for Aspirin,Caffeine — the ingredient across all brands.

Top reported reactions

Expired Product Administered81
Pain68
Fall49
Nausea46
Constipation43
Mobility Decreased39
Toxicity To Various Agents39

Age at onset

Infant1
Child1
Adolescent2
Adult85
Elderly42

Reporter sex

707 reports
Male · 29%
Female · 71%

Serious outcomes

Hospitalization127
Life-threatening19
Reports over time (by year) — tap or hover for the count & year
2019 2021 2023 2026 86 0
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

About this NDC listing & data coverage

Over-the-counter (OTC) product
What data is (and isn’t) available for this NDC — tap to expand
NDC identity (package / product / labeler codes) ✓ Available
Labeler ✓ Available
Product & package description ✓ Available
Marketing category & status ✓ Available
Active ingredient / dosage form / route ✓ Available
FDA label (SPL via DailyMed) ✓ Available
Package photos ✓ Available
Inactive ingredients (structured) — Not published for this NDC The labeler did not submit a structured excipient list, or no SPL is available.
NADAC pharmacy acquisition price (CMS) — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey.
Orange Book / therapeutic-equivalence data — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope.
HCPCS J-code billing crosswalk — Not published for this NDC Most self-administered / retail products have no J-code — that is normal.
Medicaid utilization (CMS SDUD) — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold.
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Is this NDC FDA-approved?
An NDC listing does not by itself establish FDA approval — the NDC Directory records that a product is listed with FDA, not that it was reviewed and approved. This listing's marketing category is "Otc Monograph Drug". Products approved under an application carry an NDA, ANDA, or BLA number.
Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The form printed on the packaging and shown on DailyMed is the one the FDA registered. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero and the dashes are dropped. The Identity section at the top of this page lists each form of this code.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by Unifirst First Aid Corporation. Listing status can change — the directory data on this page refreshes weekly.
Does this product come in other package sizes?
Yes — the FDA directory lists 2 other package presentations of this same product, including 2 tablets (47682-0821-80), 2 tablets (47682-0821-99). Each has its own NDC and its own page — see the package list near the top of this page.
Who lists this product with the FDA?
Unifirst First Aid Corporation is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as an over-the-counter product, so it does not require a prescription. Follow the package directions, and ask your pharmacist if you are unsure whether it is right for you.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.
← 47682-0820-13 · Unifirst 47682-0823-80 · Unifirst →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.