NDC codes

FDA NDC Directory
Product NDC (as listed)50090-4811Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-4811Add 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
50090-4811-0500904811005 TABLET in 1 BOTTLE (50090-4811-0)Marketed from Dec 27, 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)
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 040596
Marketing start
Listing expires
Other FDA classes
Phenothiazines (Chemical structure)
Identifiers
Product ID 50090-4811_cc9770f9-bc4b-4974-8e43-b27600d90df7SPL ID cc9770f9-bc4b-4974-8e43-b27600d90df7SPL set ID b7137912-d119-4899-9c93-09c1c625f290RxCUI 992447UNII R61ZEH7I1I
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

N450090481100 followed by a unit qualifier and the quantity

Package 50090-4811-00. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Promethazine Hydrochloride, is useful orally 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, or 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 co…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 040596

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

FDA NDC Directory listings under ANDA 040596
ProductStrengthForm · routeLabelerProduct NDC
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralAmerican Health Packaging68084-155
Phenerganpromethazine hclPromethazine hydrochloride 12.5 mg/1TabletOralDirect_Rx72189-402
Promethazine HydrochloridePromethazine hydrochloride 12.5 mg/1TabletOralAsclemed USA, Inc.76420-678
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralAsclemed USA, Inc.76420-679
Promethazine HydrochloridePromethazine hydrochloride 50 mg/1TabletOralAsclemed USA, Inc.76420-692
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralProficient Rx LP71205-658
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0265
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralUnit Dose Solutions, Inc.87441-070
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralDIRECT RX72189-176
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralA-S Medication Solutions50090-4812
Promethazine HydrochloridePromethazine hydrochloride 12.5 mg/1TabletOralBluePoint Laboratories68001-161
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralA-S Medication Solutions50090-4813
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralBluePoint Laboratories68001-162
Promethazine HydrochloridePromethazine hydrochloride 12.5 mg/1TabletOralAmerican Health Packaging60687-660
Promethazine HydrochloridePromethazine hydrochloride 50 mg/1TabletOralBluePoint Laboratories68001-163
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralREMEDYREPACK INC.70518-1306
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralASCLEMED USA INC.87063-015
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralZydus Pharmaceuticals USA Inc.68382-041
Promethazine HydrochloridePromethazine hydrochloride 25 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-4809
Promethazine HydrochloridePromethazine hydrochloride 12.5 mg/1TabletOralASCLEMED USA INC.87063-014

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