NDC codes

FDA NDC Directory
Product NDC (as listed)0574-0294Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00574-0294Add 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
0574-0294-0100574029401100 TABLET, EXTENDED RELEASE in 1 BOTTLE (0574-0294-01)Marketed from May 22, 2015

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)
hydromorphone hydrochloride
Generic name (nonproprietary)
hydromorphone hydrochloride
Active ingredients
Hydromorphone hydrochloride — 12 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204278
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Full Opioid Agonists (Mechanism)
Identifiers
Product ID 0574-0294_8b576b81-17fc-4251-acc3-6e1b9e18030cSPL ID 8b576b81-17fc-4251-acc3-6e1b9e18030cSPL set ID 780a2616-0392-4715-bc50-71799bea1957RxCUI 902729, 902736, 902741, 1306898UNII L960UP2KRW
Pharmacologic class
Opioid Agonist

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

N400574029401 followed by a unit qualifier and the quantity

Package 00574-0294-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Hydromorphone hydrochloride extended-release tablets are indicated in opioid-tolerant patients for the management of severe and persistent pain that requires an opioid analgesic and that cannot be adequately treated with alternative options, including immediate-release opioids. Patients considered opioid tolerant are those who are receiving, for one week or longer, at least 60 mg oral morphine per day, 25 mcg transdermal fentanyl per hour, 30 mg oral oxycodone per day, 8 mg oral hydromorphone per day, 25 mg oral oxymorphone per day, 60 mg oral hydrocodone per day, or an equianalgesic dose of another opioid. Limitations of Use • Because of the risks of addiction, abuse, misuse, overdose, and …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 204278

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

FDA NDC Directory listings under ANDA 204278
ProductStrengthForm · routeLabelerProduct NDC
hydromorphone hydrochlorideHydromorphone hydrochloride 8 mg/1Tablet, Extended releaseOralPadagis US LLC0574-0293
hydromorphone hydrochlorideHydromorphone hydrochloride 16 mg/1Tablet, Extended releaseOralPadagis US LLC0574-0295
hydromorphone hydrochlorideHydromorphone hydrochloride 32 mg/1Tablet, Extended releaseOralPadagis US LLC0574-0297

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