NDC codes

FDA NDC Directory
Product NDC (as listed)24208-317Labeler and product segments. Claims need a package NDC.
Product NDC at billing width24208-0317Add 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
24208-317-05242080317051 BOTTLE, DROPPER in 1 CARTON (24208-317-05) / 5 mL in 1 BOTTLE, DROPPERMarketed from Dec 29, 1995
24208-317-10242080317101 BOTTLE, DROPPER in 1 CARTON (24208-317-10) / 10 mL in 1 BOTTLE, DROPPERMarketed from Dec 29, 1995

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)
Sulfacetamide Sodium and Prednisolone Sodium Phosphate
Generic name (nonproprietary)
sulfacetamide sodium and prednisolone sodium phosphate
Active ingredients
Sulfacetamide sodium — 100 mg/mLPrednisolone sodium phosphate — 2.3 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 074449
Marketing start
Listing expires
Other FDA classes
Corticosteroid Hormone Receptor Agonists (Mechanism)Sulfonamides (Chemical structure)
Identifiers
Product ID 24208-317_06ea3d35-67bf-d0b8-e063-6294a90a5b0cSPL ID 06ea3d35-67bf-d0b8-e063-6294a90a5b0cSPL set ID 9ec403eb-b5df-4e41-9e17-9d9d8ecac3f3RxCUI 1012021UNII 4NRT660KJQ, IV021NXA9J
Pharmacologic class
Corticosteroid; Sulfonamide Antibacterial

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. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N424208031705 followed by a unit qualifier and the quantity

Package 24208-0317-05. 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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