Doxycycline Hyclate NDC 42708-173

NDC codes

FDA NDC Directory

Product NDC (as listed)42708-173Labeler and product segments. Claims need a package NDC.

Product NDC at billing width42708-0173Add 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
42708-173-20	42708017320	20 TABLET, COATED in 1 BOTTLE, PLASTIC (42708-173-20)Marketed from May 19, 2023 · Sample package

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): Doxycycline Hyclate
Generic name (nonproprietary): doxycycline hyclate
Active ingredients: Doxycycline hyclate — 100 mg/1
Dosage form: Tablet, Coated
Route: Oral
Labeler: QPharma, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 065095
Marketing start: Jul 2, 2003
Listing expires: Dec 31, 2026
Other FDA classes: Tetracyclines (Chemical structure)
Identifiers: Product ID 42708-173_46827da0-577c-60e7-e063-6294a90a99e7SPL ID 46827da0-577c-60e7-e063-6294a90a99e7SPL set ID fbd0a22f-b365-c0a2-e053-6394a90a1e07RxCUI 1650143UNII 19XTS3T51U
Pharmacologic class: Tetracycline-class Drug

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

N442708017320 followed by a unit qualifier and the quantity

Package 42708-0173-20. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 065095

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

FDA NDC Directory listings under ANDA 065095
Product	Strength	Form · route	Labeler	Product NDC
Doxycycline Hyclate	Doxycycline hyclate 100 mg/1	Tablet, CoatedOral	Cardinal Health 107, LLC	55154-8079
Doxycyclinedoxycycline hyclate	Doxycycline hyclate 100 mg/1	Tablet, CoatedOral	REMEDYREPACK INC.	70518-3039
Doxycycline Hyclate	Doxycycline hyclate 100 mg/1	Tablet, CoatedOral	Northwind Health Company, LLC	51655-998
Doxycycline Hyclate	Doxycycline hyclate 100 mg/1	Tablet, CoatedOral	Major Pharmaceuticals	0904-0430
Doxycyclinedoxycycline hyclate	Doxycycline hyclate 100 mg/1	Tablet, CoatedOral	PD-Rx Pharmaceuticals, Inc.	55289-866
Doxycycline Hyclate	Doxycycline hyclate 100 mg/1	Tablet, CoatedOral	American Health Packaging	62584-693
Doxycyclinedoxycycline hyclate	Doxycycline hyclate 100 mg/1	Tablet, CoatedOral	Cardinal Health 107, LLC	55154-7128
Doxycycline Hyclate	Doxycycline hyclate 100 mg/1	Tablet, CoatedOral	A-S Medication Solutions	50090-7580
Doxycycline Hyclate	Doxycycline hyclate 100 mg/1	Tablet, CoatedOral	Hikma Pharmaceuticals USA Inc.	0143-2112