Sympazan (clobazam) NDC 10094-210

NDC codes

FDA NDC Directory

Product NDC (as listed)10094-210Labeler and product segments. Claims need a package NDC.

Product NDC at billing width10094-0210Add 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 NDC	11-digit (billing)	Package	Copy
10094-210-60	10094021060	60 POUCH in 1 PACKAGE (10094-210-60) / 1 FILM in 1 POUCH (10094-210-01)Marketed from Nov 1, 2018

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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): Sympazan
Generic name (nonproprietary): clobazam
Active ingredients: Clobazam — 10 mg/1
Dosage form: Film
Route: Oral
Labeler: Aquestive Therapeutics
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 210833
Marketing start: Nov 1, 2018
Listing expires: Dec 31, 2026
DEA schedule: CIV
Other FDA classes: Benzodiazepines (Chemical structure)Cytochrome P450 2D6 Inhibitors (Mechanism)Cytochrome P450 3A4 Inducers (Mechanism)
Identifiers: Product ID 10094-210_4a004ed9-140a-4054-843c-4e31d42667ecSPL ID 4a004ed9-140a-4054-843c-4e31d42667ecSPL set ID 5e3d8fcb-aa7d-4822-88fc-4f06264c3242RxCUI 2058253, 2058254, 2058255, 2102713, 2102715, 2102717UNII 2MRO291B4U
Pharmacologic class: Benzodiazepine

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

N410094021060 followed by a unit qualifier and the quantity

Package 10094-0210-60. 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

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