NDC codes

FDA NDC Directory
Product NDC (as listed)50090-5380Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-5380Add 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
50090-5380-45009053800430 CAPSULE in 1 BOTTLE (50090-5380-4)Marketed from Nov 19, 2020

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)
doxycycline hyclate
Generic name (nonproprietary)
doxycycline hyclate
Active ingredients
Doxycycline hyclate — 50 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 062500
Marketing start
Listing expires
Other FDA classes
Tetracyclines (Chemical structure)
Identifiers
Product ID 50090-5380_400e02ad-7e57-41b6-b68f-a5532042194fSPL ID 400e02ad-7e57-41b6-b68f-a5532042194fSPL set ID a2df1a8c-7a22-462d-830a-04e6ac5a912fRxCUI 1649405UNII 19XTS3T51U
Pharmacologic class
Tetracycline-class Drug

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

N450090538004 followed by a unit qualifier and the quantity

Package 50090-5380-04. 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 To reduce the development of drug-resistant bacteria and maintain effectiveness of doxycycline and other antibacterial drugs, doxycycline should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy. Treatment Doxycycline is indicated for the treatment of the following infections Rocky Mountain spotted fever, typhus fever and the typhus group, Q fev…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 062500

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

FDA NDC Directory listings under ANDA 062500
ProductStrengthForm · routeLabelerProduct NDC
doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralBryant Ranch Prepack72162-2186
doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralSportpharm LLC85766-052
Doxycycline HyclateDoxycycline hyclate 100 mg/1CapsuleOralNuCare Pharmaceuticals,Inc.68071-5232
doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralA-S Medication Solutions50090-5560
Doxycycline HyclateDoxycycline hyclate 100 mg/1CapsuleOralNuCare Pharmaceuticals,Inc.68071-5259
doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralA-S Medication Solutions50090-5588
doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralBryant Ranch Prepack71335-1549
Doxycycline HyclateDoxycycline hyclate 100 mg/1CapsuleOralAsclemed USA, Inc.76420-044
doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralChartwell RX LLC62135-984
doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralChartwell RX LLC62135-985
doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralProficient Rx LP71205-518
Doxycycline HyclateDoxycycline hyclate 100 mg/1CapsuleOralHealth Department, Oklahoma State83112-985
doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralProficient Rx LP71205-554
doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralHAWAII REPACK, INC85534-0048
doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralBryant Ranch Prepack71335-2844
doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralChartwell Governmental & Specialty RX, LLC68999-984
doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralChartwell Governmental & Specialty RX, LLC68999-985
doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralBryant Ranch Prepack71335-1768

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