NDC codes

FDA NDC Directory
Product NDC (as listed)17856-0065Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17856-0065Add 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
17856-0065-11785600650172 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (17856-0065-1) / 5 mL in 1 CUP, UNIT-DOSEMarketed from Aug 7, 2020
17856-0065-2178560065021 CUP, UNIT-DOSE in 1 BAG (17856-0065-2) / 5 mL in 1 CUP, UNIT-DOSEMarketed from Jun 4, 2025

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Promethazine Hydrochloride and Codeine Phosphate
Generic name (nonproprietary)
promethazine hydrochloride and codeine phosphate
Active ingredients
Promethazine hydrochloride — 6.25 mg/5mLCodeine phosphate — 10 mg/5mL
Dosage form
Solution
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 200386
Marketing start
Listing expires
DEA schedule
CV
Other FDA classes
Full Opioid Agonists (Mechanism)Phenothiazines (Chemical structure)
Identifiers
Product ID 17856-0065_36c12aae-7566-5b2d-e063-6294a90a0dd1SPL ID 36c12aae-7566-5b2d-e063-6294a90a0dd1SPL set ID f8fb13e3-bc09-4004-a911-a38b6bbb0058RxCUI 991486UNII R61ZEH7I1I, GSL05Y1MN6
Pharmacologic class
Opioid Agonist; Phenothiazine

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

N417856006501 followed by a unit qualifier and the quantity

Package 17856-0065-01. 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)

Promethazine HCl and Codeine Phosphate Oral Solution is indicated for the temporary relief of coughs and upper respiratory symptoms associated with allergy or the common cold in patients 18 years of age and older. Important Limitations of Use Not indicated for pediatric patients under 18 years of age [ see Use in Specific Populations (8.4) ]. Contraindicated in pediatric patients under 12 years of age [ see Contraindications (4) , Use in Specific Populations (8.4) ]. Contraindicated in pediatric patients 12 to 18 years of age after tonsillectomy or adenoidectomy [ see Contraindications (4) , Use in Specific Populations (8.4) ]. Because of the risks of addiction, abuse, and misuse with opioid…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 200386

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

FDA NDC Directory listings under ANDA 200386
ProductStrengthForm · routeLabelerProduct NDC
Promethazine Hydrochloride and Codeine PhosphatePromethazine hydrochloride 6.25 mg/5mL; Codeine phosphate 10 mg/5mLSolutionOralCosette Pharmaceuticals, Inc.0713-0823
Promethazine Hydrochloride and Codeine PhosphatePromethazine hydrochloride 6.25 mg/5mL; Codeine phosphate 10 mg/5mLSolutionOralCranbury Pharmaceuticals, LLC27808-065
Promethazine Hydrochloride and Codeine PhosphatePromethazine hydrochloride 6.25 mg/5mL; Codeine phosphate 10 mg/5mLSolutionOralBryant Ranch Prepack72162-2042

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in