NDC codes

FDA NDC Directory
Product NDC (as listed)42858-150Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42858-0150Add 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
42858-150-144285801501410 POUCH in 1 BOX (42858-150-14) / 1 PATCH in 1 POUCH / 3 d in 1 PATCHMarketed from Nov 1, 2024
42858-150-40428580150404 POUCH in 1 BOX (42858-150-40) / 1 PATCH in 1 POUCH / 3 d in 1 PATCHMarketed from Nov 1, 2024
42858-150-704285801507024 POUCH in 1 BOX (42858-150-70) / 1 PATCH in 1 POUCH / 3 d in 1 PATCHMarketed from Nov 1, 2024

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)
Scopolamine
Generic name (nonproprietary)
scopolamine
Active ingredients
Scopolamine — 1 mg/3d
Dosage form
Patch, Extended release
Route
Transdermal
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 215329
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)
Identifiers
Product ID 42858-150_1aa687d4-9052-41b4-baaa-cc69c444e623SPL ID 1aa687d4-9052-41b4-baaa-cc69c444e623SPL set ID ba5a1237-4d23-441a-808e-96b97045fbe2RxCUI 226552UNII DL48G20X8X
Pharmacologic class
Anticholinergic

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. Transdermal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N442858015014 followed by a unit qualifier and the quantity

Package 42858-0150-14. 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)

Scopolamine Transdermal System is indicated in adults for the prevention of: nausea and vomiting associated with motion sickness. post-operative nausea and vomiting (PONV) associated with recovery from anesthesia and/or opiate analgesia and surgery. Scopolamine transdermal system is an anticholinergic indicated in adults for the prevention of: nausea and vomiting associated with motion sickness. ( 1 ) post-operative nausea and vomiting (PONV) associated with recovery from anesthesia and/or opiate analgesia and surgery. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 215329

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

FDA NDC Directory listings under ANDA 215329
ProductStrengthForm · routeLabelerProduct NDC
ScopolamineScopolamine 1 mg/3dPatch, Extended releaseTransdermalBryant Ranch Prepack72162-2453
ScopolamineScopolamine 1 mg/3dPatch, Extended releaseTransdermalBryant Ranch Prepack71335-3014
ScopolamineScopolamine 1 mg/3dPatch, Extended releaseTransdermalBryant Ranch Prepack71335-3013
ScopolamineScopolamine 1 mg/3dPatch, Extended releaseTransdermalBryant Ranch Prepack71335-3015

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in