Phenytoin Sodium NDC 50090-3539

NDC codes

FDA NDC Directory

Product NDC (as listed)50090-3539Labeler and product segments. Claims need a package NDC.

Product NDC at billing width50090-3539Add 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
50090-3539-0	50090353900	100 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (50090-3539-0)Marketed from Aug 15, 2018
50090-3539-1	50090353901	90 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (50090-3539-1)Marketed from Aug 15, 2018

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Phenytoin Sodium
Generic name (nonproprietary): phenytoin sodium
Active ingredients: Phenytoin sodium — 100 mg/1
Dosage form: Capsule, Extended release
Route: Oral
Labeler: A-S Medication Solutions
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 040684
Marketing start: Sep 5, 2006
Listing expires: Dec 31, 2027
Other FDA classes: Cytochrome P450 1A2 Inducers (Mechanism)Cytochrome P450 2B6 Inducers (Mechanism)Cytochrome P450 2C19 Inducers (Mechanism)Cytochrome P450 2C8 Inducers (Mechanism)Cytochrome P450 2C9 Inducers (Mechanism)Cytochrome P450 2D6 Inducers (Mechanism)Cytochrome P450 3A Inducers (Mechanism)Decreased Central Nervous System Disorganized Electrical Activity (Physiologic effect)
Identifiers: Product ID 50090-3539_c999ca9a-7e25-4b7b-b531-913a92c76af3SPL ID c999ca9a-7e25-4b7b-b531-913a92c76af3SPL set ID ef4e97a7-cd18-47a9-a016-2eca5481a87eRxCUI 855671UNII 4182431BJH
Pharmacologic class: Anti-epileptic Agent

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

N450090353900 followed by a unit qualifier and the quantity

Package 50090-3539-00. 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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