NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9878Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9878Add 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
0404-9878-02004049878021 VIAL, SINGLE-DOSE in 1 BAG (0404-9878-02) / 2 mL in 1 VIAL, SINGLE-DOSEMarketed from Jan 17, 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)
Hydroxyzine
Generic name (nonproprietary)
hydroxyzine
Active ingredients
Hydroxyzine dihydrochloride — 50 mg/mL
Dosage form
Injection, Solution
Route
Intramuscular
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 087408
Marketing start
Listing expires
Other FDA classes
Histamine Receptor Antagonists (Mechanism)
Identifiers
Product ID 0404-9878_5d9b6c38-5a58-4278-999a-f430f34aafd4SPL ID 5d9b6c38-5a58-4278-999a-f430f34aafd4SPL set ID 851e7439-bb0a-4a09-9279-e3c33bff8965RxCUI 1794552UNII 76755771U3
Pharmacologic class
Antihistamine

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N400404987802 followed by a unit qualifier and the quantity

Package 00404-9878-02. 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 The total management of anxiety, tension, and psychomotor agitation in conditions of emotional stress requires in most instances a combined approach of psychotherapy and chemotherapy. Hydroxyzine has been found to be particularly useful for this latter phase of therapy in its ability to render the disturbed patient more amenable to psychotherapy in long term treatment of the psychoneurotic and psychotic, although it should not be used as the sole treatment of psychosis or of clearly demonstrated cases of depression. Hydroxyzine is also useful in alleviating the manifestations of anxiety and tension as in the preparation for dental procedures and in acute emotional probl…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 087408

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

FDA NDC Directory listings under ANDA 087408
ProductStrengthForm · routeLabelerProduct NDC
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 50 mg/mLInjection, SolutionIntramuscularHenry Schein, Inc.0404-9877
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 25 mg/mLInjection, SolutionIntramuscularAmerican Regent, Inc.0517-4201
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 50 mg/mLInjection, SolutionIntramuscularAmerican Regent, Inc.0517-5601
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 50 mg/mLInjection, SolutionIntramuscularAmerican Regent, Inc.0517-5602
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 25 mg/mLInjection, SolutionIntramuscularHF Acquisition Co LLC, DBA HealthFirst51662-1649

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