NDC codes

FDA NDC Directory
Product NDC (as listed)0904-6765Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-6765Add 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
0904-6765-20009046765201 BOTTLE in 1 CARTON (0904-6765-20) / 118 mL in 1 BOTTLEMarketed from Aug 22, 2018

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)
childrens cetirizine hydrochloride
Generic name (nonproprietary)
cetirizine hcl
Active ingredients
Cetirizine hydrochloride — 5 mg/5mL
Dosage form
Solution
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204226
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 0904-6765_5f4ad745-20b6-4ed5-81aa-448c658d57c2SPL ID 5f4ad745-20b6-4ed5-81aa-448c658d57c2SPL set ID db297aa4-4384-48f2-b2bd-c842efc8a844RxCUI 1014673UNII 64O047KTOA
Pharmacologic class
Histamine-1 Receptor Antagonist

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

N400904676520 followed by a unit qualifier and the quantity

Package 00904-6765-20. 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 temporarily relieves these symptoms due to hay fever or other upper respiratory allergies: • runny nose • sneezing • itchy, watery eyes • itching of the nose or throat

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 204226

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

FDA NDC Directory listings under ANDA 204226
ProductStrengthForm · routeLabelerProduct NDC
Good Sense Childrens All Day Allergycetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralA-S Medication Solutions50090-7068
childrens allergy reliefcetirizine hydrochlorideCetirizine hydrochloride 5 mg/5mLSolutionOralSafeway21130-465
TopCare Childrens All Day Allergycetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralTopco Associates LLC36800-475
childrens all day allergycetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralHyVee Inc42507-475
foster and thrive childrens allergy reliefcetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralStrategic Sourcing Services LLC70677-1042
Good Sense Childrens All Day Allergycetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralPreferred Pharmaceuticals Inc.68788-8803
childrens cetirizine hydrochloridecetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralATLANTIC BIOLOGICALS CORP.17856-6765
Good Sense Childrens All Day Allergycetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralL. Perrigo Company0113-0189
childrens allergy reliefcetirizine hydrochlorideCetirizine hydrochloride 5 mg/5mLSolutionOralWalgreen Company0363-3311
Childrens 24 Hour Allergycetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralMeijer Distribution Inc41250-189
Kirkland Signature Childrens Aller Teccetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralCostco Wholesale Company63981-475
childrens cetirizine hydrochloridecetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralPreferred Pharmaceuticals Inc.68788-8188
childrens allergy reliefcetirizine hydrochlorideCetirizine hydrochloride 5 mg/5mLSolutionOralSafeway21130-653
childrens all day allergycetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralKroger Company30142-189
Childrens Allergy Reliefcetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralCVS Pharmacy59779-509
childrens allergy reliefcetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralRite Aid Corporation11822-0475
careone childrens allergy reliefcetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralAmerican Sales Company41520-902
Good Neighbor Pharmacy Childrens All Day Allergycetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralAmerisource Bergen46122-203
Childrens All Day Allergycetirizine hclCetirizine hydrochloride 5 mg/5mLSolutionOralAmazon.com Services LLC72288-818
childrens allergy reliefcetirizine hydrochlorideCetirizine hydrochloride 5 mg/5mLSolutionOralWalgreen Company0363-3393

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