NDC codes

FDA NDC Directory
Product NDC (as listed)50090-4425Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-4425Add 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
50090-4425-0500904425001 BLISTER PACK in 1 CARTON (50090-4425-0) / 1 TABLET in 1 BLISTER PACKMarketed from Jul 19, 2019
50090-4425-15009044250112 BLISTER PACK in 1 CARTON (50090-4425-1) / 1 TABLET in 1 BLISTER PACKMarketed from Jul 19, 2019
50090-4425-2500904425022 BLISTER PACK in 1 CARTON (50090-4425-2) / 1 TABLET in 1 BLISTER PACKMarketed from Jul 19, 2019
50090-4425-3500904425034 BLISTER PACK in 1 CARTON (50090-4425-3) / 1 TABLET in 1 BLISTER PACKMarketed from Jul 19, 2019

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)
fluconazole
Generic name (nonproprietary)
fluconazole
Active ingredients
Fluconazole — 150 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 208963
Marketing start
Listing expires
Other FDA classes
Azoles (Chemical structure)Cytochrome P450 2C19 Inhibitors (Mechanism)Cytochrome P450 2C9 Inhibitors (Mechanism)Cytochrome P450 3A4 Inhibitors (Mechanism)
Identifiers
Product ID 50090-4425_db5ecbc8-7329-45c5-b19a-d0e79fbe1659SPL ID db5ecbc8-7329-45c5-b19a-d0e79fbe1659SPL set ID 1a8bd42a-2bce-4b41-8678-67033e7707ddRxCUI 197699UNII 8VZV102JFY
Pharmacologic class
Azole Antifungal

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

N450090442500 followed by a unit qualifier and the quantity

Package 50090-4425-00. 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 Fluconazole tablets are indicated for the treatment of: Vaginal candidiasis (vaginal yeast infections due to Candida ). Oropharyngeal and esophageal candidiasis. In open noncomparative studies of relatively small numbers of patients, fluconazole tablets were also effective for the treatment of Candida urinary tract infections, peritonitis, and systemic Candida infections including candidemia, disseminated candidiasis, and pneumonia. Cryptococcal meningitis. Before prescribing fluconazole tablets for AIDS patients with cryptococcal meningitis, please see CLINICAL STUDIES section. Studies comparing fluconazole tablets to amphotericin B in non-HIV infected patients have no…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 208963

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

FDA NDC Directory listings under ANDA 208963
ProductStrengthForm · routeLabelerProduct NDC
fluconazoleFluconazole 100 mg/1TabletOralA-S Medication Solutions50090-5299
fluconazoleFluconazole 150 mg/1TabletOralZydus Lifesciences Limited70771-1065
fluconazoleFluconazole 50 mg/1TabletOralZydus Lifesciences Limited70771-1063
fluconazoleFluconazole 100 mg/1TabletOralZydus Lifesciences Limited70771-1064
fluconazoleFluconazole 200 mg/1TabletOralZydus Lifesciences Limited70771-1066
fluconazoleFluconazole 100 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-4501
fluconazoleFluconazole 50 mg/1TabletOralZydus Pharmaceuticals (USA) Inc.70710-1137
fluconazoleFluconazole 200 mg/1TabletOralZydus Pharmaceuticals (USA) Inc.70710-1140
fluconazoleFluconazole 100 mg/1TabletOralZydus Pharmaceuticals (USA) Inc.70710-1138
fluconazoleFluconazole 150 mg/1TabletOralZydus Pharmaceuticals (USA) Inc.70710-1139
FluconazoleFluconazole 100 mg/1TabletOraldirect rx72189-140
fluconazoleFluconazole 150 mg/1TabletOraldirect rx72189-149
fluconazoleFluconazole 150 mg/1TabletOralProficient Rx LP71205-081
FluconazoleFluconazole 200 mg/1TabletOralDirect Rx61919-493
fluconazoleFluconazole 100 mg/1TabletOralREMEDYREPACK INC.70518-2415
fluconazoleFluconazole 200 mg/1TabletOralA-S Medication Solutions50090-4864
fluconazoleFluconazole 100 mg/1TabletOralBryant Ranch Prepack71335-0686
fluconazoleFluconazole 200 mg/1TabletOralBryant Ranch Prepack71335-0769
fluconazoleFluconazole 200 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-4163
fluconazoleFluconazole 200 mg/1TabletOralProficient Rx LP71205-283

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