Pseudoephedrine HCl NDC 21130-158

NDC codes

FDA NDC Directory

Product NDC (as listed)21130-158Labeler and product segments. Claims need a package NDC.

Product NDC at billing width21130-0158Add 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
21130-158-67	21130015867	2 BLISTER PACK in 1 CARTON (21130-158-67) / 10 TABLET, EXTENDED RELEASE in 1 BLISTER PACKMarketed from Sep 1, 2023

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): Pseudoephedrine HCl
Generic name (nonproprietary): pseudoephedrine hcl
Active ingredients: Pseudoephedrine hydrochloride — 120 mg/1
Dosage form: Tablet, Extended release
Route: Oral
Labeler: Better Living Brands LLC
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 209008
Marketing start: Sep 1, 2023
Listing expires: Dec 31, 2026
Other FDA classes: Adrenergic alpha-Agonists (Mechanism)
Identifiers: Product ID 21130-158_14aa89a7-5eb1-4037-a169-cbb527b46e95SPL ID 14aa89a7-5eb1-4037-a169-cbb527b46e95SPL set ID f9d5a22a-3964-08b8-e053-6294a90ab220RxCUI 1049154UNII 6V9V2RYJ8NUPC 0387730788560
Pharmacologic class: alpha-Adrenergic Agonist

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

N421130015867 followed by a unit qualifier and the quantity

Package 21130-0158-67. 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 Jul 24, 2024.

Indications (excerpt from the label)

Uses temporarily relieves nasal congestion due to the common cold, hay fever or other upper respiratory allergies temporarily relieves sinus congestion and pressure

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209008

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

FDA NDC Directory listings under ANDA 209008
Product	Strength	Form · route	Labeler	Product NDC
Pseudoephedrine HCl	Pseudoephedrine hydrochloride 120 mg/1	Tablet, Extended releaseOral	Aurohealth LLC	58602-804