NDC codes

FDA NDC Directory
Product NDC (as listed)43063-405Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43063-0405Add 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
43063-405-04430630405044 TABLET in 1 BOTTLE, PLASTIC (43063-405-04)Marketed from Feb 21, 2012
43063-405-05430630405055 TABLET in 1 BOTTLE, PLASTIC (43063-405-05)Marketed from Feb 21, 2012
43063-405-06430630405066 TABLET in 1 BOTTLE, PLASTIC (43063-405-06)Marketed from Feb 21, 2012
43063-405-104306304051010 TABLET in 1 BOTTLE, PLASTIC (43063-405-10)Marketed from Feb 21, 2012
43063-405-124306304051212 TABLET in 1 BOTTLE, PLASTIC (43063-405-12)Marketed from Feb 21, 2012
43063-405-154306304051515 TABLET in 1 BOTTLE, PLASTIC (43063-405-15)Marketed from Feb 21, 2012
43063-405-204306304052020 TABLET in 1 BOTTLE, PLASTIC (43063-405-20)Marketed from Feb 21, 2012
43063-405-254306304052525 TABLET in 1 BOTTLE, PLASTIC (43063-405-25)Marketed from Feb 21, 2012
43063-405-304306304053030 TABLET in 1 BOTTLE, PLASTIC (43063-405-30)Marketed from Feb 21, 2012
43063-405-604306304056060 TABLET in 1 BOTTLE, PLASTIC (43063-405-60)Marketed from Feb 21, 2012
43063-405-79430630405791 TABLET in 1 BOTTLE, PLASTIC (43063-405-79)Marketed from Feb 21, 2012

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)
Promethazine Hydrochloride
Generic name (nonproprietary)
promethazine hydrochloride
Active ingredients
Promethazine hydrochloride — 25 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091179
Marketing start
Listing expires
Other FDA classes
Phenothiazines (Chemical structure)
Identifiers
Product ID 43063-405_4d621bb1-897f-caa7-e063-6294a90aaed8SPL ID 4d621bb1-897f-caa7-e063-6294a90aaed8SPL set ID 81fd29a9-c090-49ba-8b48-bd3656ca0c92RxCUI 992447UNII R61ZEH7I1IUPC 0343063405055
Pharmacologic class
Phenothiazine

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

N443063040504 followed by a unit qualifier and the quantity

Package 43063-0405-04. 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)

INDICATIONS AND USAGE Promethazine Hydrochloride Tablets are useful for: Perennial and seasonal allergic rhinitis. Vasomotor rhinitis. Allergic conjunctivitis due to inhalant allergens and foods. Mild, uncomplicated allergic skin manifestations of urticaria and angioedema. Amelioration of allergic reactions to blood or plasma. Dermographism. Anaphylactic reactions as adjunctive therapy to epinephrine and other standard measures after the acute manifestations have been controlled. Preoperative, postoperative and obstetric sedation. Prevention and control of nausea and vomiting associated with certain types of anesthesia and surgery. Therapy adjunctive to meperidine or other analgesics for con…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 091179

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

FDA NDC Directory listings under ANDA 091179
ProductStrengthForm · routeLabelerProduct NDC
Promethazine HydrochloridePromethazine hydrochloride 12.5 mg/1TabletOralAmneal Pharmaceuticals of New York LLC53746-745
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralAmneal Pharmaceuticals LLC65162-521
Promethazine HydrochloridePromethazine hydrochloride 50 mg/1TabletOralAmneal Pharmaceuticals LLC65162-522
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralCardinal Health 107, LLC55154-3373
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralMajor Pharmaceuticals0904-7304
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralNorthwind Health Company, LLC51655-085
Promethazine HydrochloridePromethazine hydrochloride 12.5 mg/1TabletOralAmneal Pharmaceuticals LLC65162-745
Promethazine HydrochloridePromethazine hydrochloride 50 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.43063-447
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralNorthwind Health Company, LLC51655-758
Promethazine HydrochloridePromethazine hydrochloride 50 mg/1TabletOralAmneal Pharmaceuticals of New York LLC53746-522
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralAmneal Pharmaceuticals of New York LLC53746-521
Promethazine HydrochloridePromethazine hydrochloride 12.5 mg/1TabletOralA-S Medication Solutions50090-6216

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