NDC codes

FDA NDC Directory
Product NDC (as listed)50090-6624Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-6624Add 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
50090-6624-05009066240090 TABLET in 1 BOTTLE (50090-6624-0)Marketed from Aug 25, 2023

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 — 25 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204279
Marketing start
Listing expires
Other FDA classes
Histamine Receptor Antagonists (Mechanism)
Identifiers
Product ID 50090-6624_48b45350-d5c4-4266-aed3-8dce028edde9SPL ID 48b45350-d5c4-4266-aed3-8dce028edde9SPL set ID 2e346b0c-9407-4346-82c2-d9755cbcd8b0RxCUI 995258UNII 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

N450090662400 followed by a unit qualifier and the quantity

Package 50090-6624-00. 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 in…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 204279

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

FDA NDC Directory listings under ANDA 204279
ProductStrengthForm · routeLabelerProduct NDC
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralMedsource Pharmaceuticals45865-675
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralA-S Medication Solutions50090-5297
Hydroxyzine hydrochlorideHydroxyzine hydrochloride 50 mg/1TabletOralMajor Pharmaceuticals0904-7379
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralGolden State Medical Supply, Inc.51407-970
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 10 mg/1TabletOralGolden State Medical Supply, Inc.51407-969
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralREMEDYREPACK INC.70518-0487
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralGolden State Medical Supply, Inc.51407-971
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 10 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8563
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8564
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralNorthwind Health Company, LLC51655-080
Hydroxyzine hydrochlorideHydroxyzine hydrochloride 50 mg/1TabletOralUnit Dose Solutions, Inc.87441-039
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralProficient Rx LP63187-733
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralNorthwind Health Company, LLC51655-119
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-844
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralProficient Rx LP63187-354
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralChartwell RX, LLC62135-575
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 10 mg/1TabletOralChartwell RX, LLC62135-573
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1Tablet, Film coatedOralBryant Ranch Prepack63629-4929
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralChartwell RX, LLC62135-574
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-851

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