NDC codes

FDA NDC Directory
Product NDC (as listed)0363-8455Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-8455Add 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
0363-8455-1200363845512003638455121 BLISTER PACK in 1 CARTON (0363-8455-12) / 12 TABLET in 1 BLISTER PACKMarketed from Oct 10, 2019
0363-8455-2400363845524003638455241 BLISTER PACK in 1 CARTON (0363-8455-24) / 24 TABLET in 1 BLISTER PACKMarketed from Oct 10, 2019

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

Generic name (nonproprietary)
phenazopyridine hydrochloride
Active ingredients
Phenazopyridine hydrochloride — 99.5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Walgreens Co.NDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 0363-8455_0098271c-4ca3-47b7-b31d-8b1ce12224b8SPL ID 0098271c-4ca3-47b7-b31d-8b1ce12224b8SPL set ID 04b41b83-b168-429e-a785-9e210bac2debRxCUI 1094147UNII 0EWG668W17

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

N400363845512 followed by a unit qualifier and the quantity

Package 00363-8455-12. 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)

Use Fast relief from urinary pain, burning, urgency and frequency associated with urinary tract infections.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-8455

What is NDC 0363-8455?
0363-8455 is the product NDC for Wallgreens Maximum Strength Urinary Pain Relief, Phenazopyridine hydrochloride 99.5 mg/1 tablet, listed with the FDA by Walgreens Co.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Wallgreens Maximum Strength Urinary Pain Relief (Phenazopyridine hydrochloride).
What is the active ingredient?
Phenazopyridine hydrochloride.
Who is the labeler?
Walgreens Co., NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Wallgreens Maximum Strength Urinary Pain Relief?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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