NDC codes

FDA NDC Directory
Product NDC (as listed)50268-639Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50268-0639Add 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
50268-639-155026806391550 BLISTER PACK in 1 BOX (50268-639-15) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK (50268-639-11)Marketed from Feb 19, 2015

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Pantoprazole Sodium
Generic name (nonproprietary)
pantoprazole sodium
Active ingredients
Pantoprazole sodium — 40 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Labeler
AvPAK
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078281
Marketing start
Listing expires
Other FDA classes
Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 50268-639_47fb0652-007e-e12b-e063-6294a90ab81aSPL ID 47fb0652-007e-e12b-e063-6294a90ab81aSPL set ID dcac4022-fea1-67c5-3331-fefcc3c440d8RxCUI 251872, 314200UNII 6871619Q5X
Pharmacologic class
Proton Pump 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

N450268063915 followed by a unit qualifier and the quantity

Package 50268-0639-15. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 078281

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

FDA NDC Directory listings under ANDA 078281
ProductStrengthForm · routeLabelerProduct NDC
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralLannett Company, Inc.62175-617
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralLannett Company, Inc.62175-618
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralProficient Rx LP63187-938
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralBryant Ranch Prepack72162-1746
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralGolden State Medical Supply, Inc.51407-612
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralGolden State Medical Supply, Inc.51407-613
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralChartwell RX, LLC62135-533
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralAphena Pharma Solutions - Tennessee, LLC43353-027
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralChartwell RX, LLC62135-534
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralAvPAK50268-585
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralCardinal Health 107, LLC55154-4346
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralPD-Rx Pharmaceuticals, Inc.72789-086

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