NDC codes

FDA NDC Directory
Product NDC (as listed)30142-564Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0564Add 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
30142-564-3030142056430301420564301 BLISTER PACK in 1 CARTON (30142-564-30) / 30 TABLET in 1 BLISTER PACKMarketed from Sep 20, 2019

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)
Kroger Urinary Pain Relief
Generic name (nonproprietary)
phenazopyridine hydrochloride
Active ingredients
Phenazopyridine hydrochloride — 95 mg/1
Dosage form
Tablet
Route
Oral
Labeler
THE KROGER CONDC labeler code 30142
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 30142-564_17c4afdd-5a5e-4fa1-8fce-8e90b3299216SPL ID 17c4afdd-5a5e-4fa1-8fce-8e90b3299216SPL set ID 35437f23-bcaa-4bab-aef1-02a275455b77RxCUI 1094126UNII 0EWG668W17

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

N430142056430 followed by a unit qualifier and the quantity

Package 30142-0564-30. 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)

Uses fast relief from urinary pain,burning,urgency and frequency associated with urinary tract infections.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 30142-564

What is NDC 30142-564?
30142-564 is the product NDC for Kroger Urinary Pain Relief (phenazopyridine hydrochloride), Phenazopyridine hydrochloride 95 mg/1 tablet, listed with the FDA by THE KROGER CO. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Kroger Urinary Pain Relief (Phenazopyridine hydrochloride).
What is the active ingredient?
Phenazopyridine hydrochloride.
Who is the labeler?
THE KROGER CO, 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 Kroger Urinary Pain Relief?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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