NDC codes

FDA NDC Directory
Product NDC (as listed)50090-4117Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-4117Add 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
50090-4117-05009041170030 TABLET, FILM COATED in 1 BOTTLE (50090-4117-0)Marketed from Feb 1, 2019
50090-4117-35009041170320 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (50090-4117-3)Marketed from Nov 28, 2014

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)
Hydroxyzine Hydrochloride
Generic name (nonproprietary)
hydroxyzine hydrochloride
Active ingredients
Hydroxyzine dihydrochloride — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 088617
Marketing start
Listing expires
Other FDA classes
Histamine Receptor Antagonists (Mechanism)
Identifiers
Product ID 50090-4117_1018a246-77e1-446e-b436-30feac311856SPL ID 1018a246-77e1-446e-b436-30feac311856SPL set ID 3946db7c-dc2d-4329-b9ac-f003d8c6d3e1RxCUI 995218UNII 76755771U3
Pharmacologic class
Antihistamine

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

N450090411700 followed by a unit qualifier and the quantity

Package 50090-4117-00. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS AND USAGE For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested. Useful in the management of pruritus due to allergic conditions such as chronic urticaria and atopic and contact dermatoses and in histamine-mediated pruritus. As a sedative when used as a premedication and following general anesthesia, hydroxyzine may potentiate meperidine and barbiturates , so their use in pre-anesthetic adjunctive therapy should be modified on an individual basis. Atropine and other belladonna alkaloids are not affected by the drug. Hydroxyzine is not known to interfere with the action of digitalis i…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 088617

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

FDA NDC Directory listings under ANDA 088617
ProductStrengthForm · routeLabelerProduct NDC
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 10 mg/1Tablet, Film coatedOralPD-Rx Pharmaceuticals, Inc.72789-271
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 10 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-0961
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 10 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-4499
Hydroxyzine HydrochlorideHydroxyzine hydrochloride 10 mg/1Tablet, Film coatedOralAmerican Health Packaging60687-664
Hydroxyzine HydrochlorideHydroxyzine hydrochloride 10 mg/1Tablet, Film coatedOralSt Mary's Medical Park Pharmacy60760-285
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 10 mg/1Tablet, Film coatedOralTeva Pharmaceuticals USA, Inc.0093-5060
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 10 mg/1Tablet, Film coatedOralBryant Ranch Prepack63629-8738

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