Pantoprazole Sodium NDC 42799-952

NDC codes

FDA NDC Directory

Product NDC (as listed)42799-952Labeler and product segments. Claims need a package NDC.

Product NDC at billing width42799-0952Add 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
42799-952-30	42799095230	30 PACKET in 1 CARTON (42799-952-30) / 1 GRANULE, DELAYED RELEASE in 1 PACKET (42799-952-01)Marketed from Aug 15, 2023

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): Pantoprazole Sodium
Generic name (nonproprietary): pantoprazole sodium
Active ingredients: Pantoprazole sodium — 40 mg/1
Dosage form: Granule, Delayed release
Route: Oral
Labeler: Edenbridge Pharmaceuticals LLC.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 216247
Marketing start: Jun 16, 2023
Listing expires: Dec 31, 2027
Other FDA classes: Proton Pump Inhibitors (Mechanism)
Identifiers: Product ID 42799-952_491a4100-ef0e-4a7e-82cd-6f574f416c26SPL ID 491a4100-ef0e-4a7e-82cd-6f574f416c26SPL set ID a0bb76bc-094a-4d61-9bb2-2226c9da4ae9RxCUI 763306UNII 6871619Q5XUPC 0342799952017
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

N442799095230 followed by a unit qualifier and the quantity

Package 42799-0952-30. 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

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