NDC codes

FDA NDC Directory
Product NDC (as listed)30142-394Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0394Add 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
30142-394-5530142039455301420394553 CARTON in 1 CARTON (30142-394-55) / 14 BLISTER PACK in 1 CARTON / 1 TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE in 1 BLISTER PACKMarketed from Apr 10, 2018

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)
omeprazole
Generic name (nonproprietary)
omeprazole
Active ingredients
Omeprazole — 20 mg/1
Dosage form
Tablet, Orally disintegrating, Delayed release
Route
Oral
Labeler
Kroger CompanyNDC labeler code 30142
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 209400
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C19 Inhibitors (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 30142-394_46b01c78-c491-4087-a980-a43add76537dSPL ID 46b01c78-c491-4087-a980-a43add76537dSPL set ID 083841e8-482d-4e5b-90ab-1139b576d691RxCUI 2003656UNII KG60484QX9
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

N430142039455 followed by a unit qualifier and the quantity

Package 30142-0394-55. 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)

Use • treats frequent heartburn (occurs 2 or more days a week) • not intended for immediate relief of heartburn; this drug may take 1 to 4 days for full effect

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 30142-394

What is NDC 30142-394?
30142-394 is the product NDC for omeprazole, Omeprazole 20 mg/1 tablet, orally disintegrating, delayed release, listed with the FDA by Kroger Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
omeprazole.
What is the active ingredient?
Omeprazole.
Who is the labeler?
Kroger Company, NDC labeler code 30142. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for omeprazole?
252 other product NDCs are listed under this name. See all omeprazole NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other omeprazole NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
OmeprazoleOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralChain Drug Marketing Association, Inc.83324-30983324-0309-1483324-0309-42
OmeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-66672288-0666-5572288-0666-74
Omeprazoleomeprazole magnesiumOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralYYBA CORP73581-01573581-0015-03
OmeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralDiscount Drug Mart, Inc53943-03853943-0038-1453943-0038-42
OmeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralAmazon.com Services LLC72288-93472288-0934-01
OmeprazoleOmeprazole 20 mg/1Capsule, Delayed releaseOralH E B59640-69959640-0699-0159640-0699-03
OmeprazoleOmeprazole 20 mg/1Capsule, Delayed releaseOralUnit Dose Solutions, Inc.87441-06387441-0063-01
OmeprazoleOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralSafeway21130-78321130-0783-0121130-0783-03
OmeprazoleOmeprazole 20 mg/1Capsule, Delayed releaseOralPreferred Phharmaceuticals Inc.68788-410468788-4104-0168788-4104-0268788-4104-03+4 more
omeprazoleOmeprazole 20 mg/1Capsule, Delayed releaseOralAmazon.com Services LLC72288-60672288-0606-03

All 253 omeprazole NDCs

Other NDCs under NDA 209400

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

FDA NDC Directory listings under NDA 209400
ProductStrengthForm · routeLabelerProduct NDC
Basic Care OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-123
berkley and jensen omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralBJWC68391-103
careone omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmerican Sales Company41520-939
DG health omperazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralDolgencorp Inc55910-713
equaline omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralUnited Natural Foods, Inc. dba UNFI41163-634
good neighbor pharmacy omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmerisource Bergen46122-616
good sense omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralL. Perrigo Company0113-0520
Leader OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralCardinal Health 110, LLC. dba Leader70000-0381
omeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralWalgreen Company0363-1819
omeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralH E B37808-354
OmeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralMeijer Distribution Inc41250-349
omeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralHyVee Inc42507-164
OmeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralCVS Pharmacy69842-791
OmeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-666
Signature Care OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralSafeway21130-128
topcare omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralTopco Associates LLC36800-601
up and up omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralTarget Corporation11673-212

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