NDC codes

FDA NDC Directory
Product NDC (as listed)0115-2790Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00115-2790Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0115-2790-0200115279002500 TABLET in 1 BOTTLE (0115-2790-02)Marketed from May 10, 2022
0115-2790-060011527900650 TABLET in 1 BOTTLE (0115-2790-06)Marketed from May 10, 2022

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Chloroquine Phosphate
Generic name (nonproprietary)
chloroquine phosphate
Active ingredients
Chloroquine phosphate — 250 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 080880
Marketing start
Listing expires
Identifiers
Product ID 0115-2790_129278f0-8928-4330-899a-b1602818700dSPL ID 129278f0-8928-4330-899a-b1602818700dSPL set ID eb02c52d-907c-43fb-aa8f-2f378a9087e7RxCUI 1116758, 1117531UNII 6E17K3343P
Pharmacologic class
Antimalarial

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400115279002 followed by a unit qualifier and the quantity

Package 00115-2790-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS AND USAGE Chloroquine phosphate tablets are indicated for the: Treatment of uncomplicated malaria due to susceptible strains of P. falciparum, P.malariae, P. ovale , and P.vivax. Prophylaxis of malaria in geographic areas where resistance to chloroquine is not present. Treatment of extraintestinal amebiasis. Chloroquine phosphate tablets do not prevent relapses in patients with vivax or ovale malaria because it is not effective against exoerythrocytic forms of the parasites. Limitations of Use in Malaria: Do not use chloroquine phosphate tablets for the treatment of complicated malaria (high-grade parasitemia and/or complications e.g., cerebral malaria or acute renal failure). Do…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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