NDC codes

FDA NDC Directory
Product NDC (as listed)23155-787Labeler and product segments. Claims need a package NDC.
Product NDC at billing width23155-0787Add 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
23155-787-0123155078701100 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (23155-787-01)Marketed from Feb 15, 2021

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)
Acetazolamide
Generic name (nonproprietary)
acetazolamide
Active ingredients
Acetazolamide — 500 mg/1
Dosage form
Capsule, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040904
Marketing start
Listing expires
Other FDA classes
Carbonic Anhydrase Inhibitors (Mechanism)Sulfonamides (Chemical structure)
Identifiers
Product ID 23155-787_073d722e-b1d4-4b55-a059-c4eb41278f4aSPL ID 073d722e-b1d4-4b55-a059-c4eb41278f4aSPL set ID 33d912ea-9e1c-49eb-bd93-f0b1b2da67b6RxCUI 562524UNII O3FX965V0IUPC 0323155787016
Pharmacologic class
Carbonic Anhydrase 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

N423155078701 followed by a unit qualifier and the quantity

Package 23155-0787-01. 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 .

Indications (excerpt from the label)

INDICATIONS AND USAGE: For adjunctive treatment of: chronic simple (open-angle) glaucoma, secondary glaucoma, and preoperatively in acute angle-closure glaucoma where delay of surgery is desired in order to lower intraocular pressure. Acetazolamide extended-release capsules are also indicated for the prevention or amelioration of symptoms associated with acute mountain sickness despite gradual ascent.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 040904

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

FDA NDC Directory listings under ANDA 040904
ProductStrengthForm · routeLabelerProduct NDC
AcetazolamideAcetazolamide 500 mg/1Capsule, Extended releaseOralREMEDYREPACK INC.70518-4646
AcetazolamideAcetazolamide 500 mg/1Capsule, Extended releaseOralA-S Medication Solutions50090-5945
AcetazolamideAcetazolamide 500 mg/1Capsule, Extended releaseOralChartwell RX, LLC62135-612

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