Acetazolamide NDC 50090-5593

NDC codes

FDA NDC Directory

Product NDC (as listed)50090-5593Labeler and product segments. Claims need a package NDC.

Product NDC at billing width50090-5593Add 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
50090-5593-0	50090559300	12 TABLET in 1 BOTTLE (50090-5593-0)Marketed from Jul 16, 2021

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): Acetazolamide
Generic name (nonproprietary): acetazolamide
Active ingredients: Acetazolamide — 250 mg/1
Dosage form: Tablet
Route: Oral
Labeler: A-S Medication Solutions
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 209734
Marketing start: Nov 20, 2017
Listing expires: Dec 31, 2027
Other FDA classes: Carbonic Anhydrase Inhibitors (Mechanism)Sulfonamides (Chemical structure)
Identifiers: Product ID 50090-5593_3563ed78-d80d-420f-8f75-e776e4f892b6SPL ID 3563ed78-d80d-420f-8f75-e776e4f892b6
Pharmacologic class: Carbonic Anhydrase Inhibitor

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

N450090559300 followed by a unit qualifier and the quantity

Package 50090-5593-00. 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

The FDA listing for this product does not reference a label (SPL) set.

Other NDCs under ANDA 209734

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

FDA NDC Directory listings under ANDA 209734
Product	Strength	Form · route	Labeler	Product NDC
Acetazolamide	Acetazolamide 125 mg/1	TabletOral	Proficient Rx LP	71205-308
Acetazolamide	Acetazolamide 125 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-045
Acetazolamide	Acetazolamide 250 mg/1	TabletOral	AvPAK	50268-054
Acetazolamide	Acetazolamide 250 mg/1	TabletOral	Strides Pharma Science Limited	64380-834
Acetazolamide	Acetazolamide 125 mg/1	TabletOral	Strides Pharma Science Limited	64380-833
Acetazolamide	Acetazolamide 125 mg/1	TabletOral	NuCare Pharmaceuticlas, Inc.	68071-3728