Hydrocortisone Acetate NDC 39328-129

NDC codes

FDA NDC Directory

Product NDC (as listed)39328-129Labeler and product segments. Claims need a package NDC.

Product NDC at billing width39328-0129Add 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
39328-129-12	39328012912	12 SUPPOSITORY in 1 CARTON (39328-129-12)Marketed from Jan 1, 2022

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): Hydrocortisone Acetate
Generic name (nonproprietary): hydrocortisone acetate
Active ingredients: Hydrocortisone acetate — 30 mg/1
Dosage form: Suppository
Route: Rectal
Labeler: Patrin Pharma Inc.
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Jan 1, 2022
Listing expires: Dec 31, 2026
Other FDA classes: Corticosteroid Hormone Receptor Agonists (Mechanism)
Identifiers: Product ID 39328-129_b44a8a6e-1239-4b41-8856-9d047ca77958SPL ID b44a8a6e-1239-4b41-8856-9d047ca77958SPL set ID 7c1d2c8c-26e2-432f-b983-505f259665a9RxCUI 1291082, 1291085UNII 3X7931PO74
Pharmacologic class: Corticosteroid

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N439328012912 followed by a unit qualifier and the quantity

Package 39328-0129-12. 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 Dec 22, 2021.

Indications (excerpt from the label)

INDICATIONS AND USAGE Hydrocortisone Acetate Suppositories are indicated for use in inflamed hemorrhoids, post irradiation (factitial) proctitis, as an adjunct in the treatment of chronic ulcerative colitis, cryptitis, other inflammatory conditions of the anorectum, and pruritus ani.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)