NDC codes

FDA NDC Directory
Product NDC (as listed)13668-096Labeler and product segments. Claims need a package NDC.
Product NDC at billing width13668-0096Add 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
13668-096-901366800969090 TABLET, DELAYED RELEASE in 1 BOTTLE (13668-096-90)Marketed from Jan 20, 2011

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)
Pantoprazole Sodium
Generic name (nonproprietary)
pantoprazole sodium
Active ingredients
Pantoprazole sodium — 20 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090074
Marketing start
Listing expires
Other FDA classes
Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 13668-096_7d09300f-2078-458c-9328-f83ffd997c9eSPL ID 7d09300f-2078-458c-9328-f83ffd997c9eSPL set ID 9c983da1-a8e0-479e-8816-5d5668ea242eRxCUI 251872, 314200UNII 6871619Q5XUPC 0313668096903, 0313668429305
Pharmacologic class
Proton Pump Inhibitor

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

N413668009690 followed by a unit qualifier and the quantity

Package 13668-0096-90. 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)

Pantoprazole is a proton pump inhibitor (PPI) indicated for the following: Short-Term Treatment of Erosive Esophagitis Associated with Gastroesophageal Reflux Disease (GERD) ( 1.1 ) Maintenance of Healing of Erosive Esophagitis ( 1.2 ) Pathological Hypersecretory Conditions Including Zollinger-Ellison (ZE) Syndrome ( 1.3 ) Pantoprazole sodium delayed-release tablets are indicated for: 1.1 Short-Term Treatment of Erosive Esophagitis Associated With Gastroesophageal Reflux Disease (GERD) Pantoprazole sodium delayed-release tablets are indicated in adults and pediatric patients five years of age and older for the short-term treatment (up to 8 weeks) in the healing and symptomatic relief of eros…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090074

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

FDA NDC Directory listings under ANDA 090074
ProductStrengthForm · routeLabelerProduct NDC
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralCardinal Health 107, LLC55154-7634
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralNuCare Pharmaceuticals, Inc.68071-1963
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralTorrent Pharmaceuticals Limited13668-429
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralMajor Pharmaceuticals0904-6474
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralA-S Medication Solutions50090-7512

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