NDC codes

FDA NDC Directory
Product NDC (as listed)0121-1025Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00121-1025Add 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
0121-1025-0800121102508237 mL in 1 BOTTLE (0121-1025-08)Marketed from Jan 9, 2025

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)
Cimetidine Hydrochloride
Generic name (nonproprietary)
cimetidine hydrochloride
Active ingredients
Cimetidine hydrochloride300 mg/5mL
Dosage form
Solution
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 074664
Marketing start
Listing expires
Other FDA classes
Histamine H2 Receptor Antagonists (Mechanism)
Identifiers
Product ID 0121-1025_55abdac4-2b7c-4163-bf5f-d2e934108ba6SPL ID 55abdac4-2b7c-4163-bf5f-d2e934108ba6SPL set ID b8b50bd9-bc1b-4da5-96c5-8eb917c8937fRxCUI 212787UNII WF10491673UPC 0301211025081

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

N400121102508 followed by a unit qualifier and the quantity

Package 00121-1025-08. 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 Cimetidine Hydrochloride Oral Solution is indicated in: (1) Short-term treatment of active duodenal ulcer. Most patients heal within 4 weeks and there is rarely reason to use cimetidine at full dosage for longer than 6 to 8 weeks (see Dosage and Administration-Duodenal Ulcer ). Concomitant antacids should be given as needed for relief of pain. However, simultaneous administration of oral cimetidine and antacids is not recommended, since antacids have been reported to interfere with the absorption of oral cimetidine. (2) Maintenance therapy for duodenal ulcer patients at reduced dosage after healing of active ulcer. Patients have been maintained on continued treatment wi

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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