Prescription drug · UNAPPROVED DRUG OTHER
Phenobarbital NDC 0904-6575
Phenobarbital 32.4 mg/1 · Tablet · Oral · Major Pharmaceuticals
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0904-6575-61 | 00904657561 | 100 BLISTER PACK in 1 CARTON (0904-6575-61) / 1 TABLET in 1 BLISTER PACKMarketed from Feb 1, 2003 |
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)
- Phenobarbital
- Generic name (nonproprietary)
- phenobarbital
- Active ingredients
- Phenobarbital — 32.4 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- Major Pharmaceuticals
- Product type
- Prescription drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Marketing end
- DEA schedule
- CIV
- Identifiers
- Product ID 0904-6575_36cbae84-9974-4169-b168-f71f2dfba1e6SPL ID 36cbae84-9974-4169-b168-f71f2dfba1e6SPL set ID e024b80b-c22f-44bc-b273-f9398f840ed0RxCUI 199167UNII YQE403BP4D
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
N400904657561followed by a unit qualifier and the quantityPackage 00904-6575-61. 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 1. Sedative 2. Anticonvulsant – For the treatment of generalized and partial seizures.
Excerpt only. Read the full label for complete information.