NDC codes

FDA NDC Directory
Product NDC (as listed)0363-9977Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-9977Add 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
0363-9977-14003639977141 BOTTLE in 1 CARTON (0363-9977-14) / 14 TABLET in 1 BOTTLEMarketed from Nov 4, 2022
0363-9977-42003639977423 BOTTLE, PLASTIC in 1 CARTON (0363-9977-42) / 14 TABLET in 1 BOTTLE, PLASTICMarketed from Nov 4, 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)
Acid Reducer
Generic name (nonproprietary)
esomeprazole magnesium
Active ingredients
Esomeprazole magnesium20 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Walgreens
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 212088
Marketing start
Marketing end
Other FDA classes
Cytochrome P450 2C19 Inhibitors (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 0363-9977_c57a9831-809a-487c-97fe-2edfdf904c85SPL ID c57a9831-809a-487c-97fe-2edfdf904c85SPL set ID 4f3c1d76-e1ba-4f85-9384-ed8f35fa6bc6RxCUI 433733UNII R6DXU4WAY9
Pharmacologic class
Proton Pump Inhibitor

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

N400363997714 followed by a unit qualifier and the quantity

Package 00363-9977-14. 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)

Uses treats frequent heartburn (occurs 2 or more days a week) not intended for immediate relief of heartburn; this drug may take 1 to 4 days for full effect

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 212088

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 212088
ProductStrengthForm · routeLabelerProduct NDC
Acid Reduceresomeprazole magnesiumEsomeprazole magnesium 20 mg/1Tablet, Delayed releaseOralCVS Pharmacy69842-679

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