Prescription drug · UNAPPROVED DRUG OTHER
Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate, Scopolamine Hydrobromide NDC 50742-666
Phenobarbital 16.2 mg/5mL + 3 more ingredients · Elixir · Oral · Ingenus Pharmaceuticals, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 50742-666-04 | 50742066604 | 118 mL in 1 BOTTLE (50742-666-04)Marketed from Aug 1, 2021 | |
| 50742-666-16 | 50742066616 | 473 mL in 1 BOTTLE (50742-666-16)Marketed from Aug 1, 2021 |
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)
- Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate, Scopolamine Hydrobromide
- Generic name (nonproprietary)
- phenobarbital, hyoscyamine sulfate, atropine sulfate, scopolamine hydrobromide
- Active ingredients
- Phenobarbital — 16.2 mg/5mLHyoscyamine sulfate — .1037 mg/5mLAtropine sulfate — .0194 mg/5mLScopolamine hydrobromide — .0065 mg/5mL
- Dosage form
- Elixir
- Route
- Oral
- Labeler
- Ingenus Pharmaceuticals, LLC
- Product type
- Prescription drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Listing expires
- DEA schedule
- CIV
- Other FDA classes
- Cholinergic Antagonists (Mechanism)Cholinergic Antagonists (Mechanism)Cholinergic Muscarinic Antagonists (Mechanism)
- Identifiers
- Product ID 50742-666_5e9a2654-23e8-43de-a8fa-d981d7f13e40SPL ID 5e9a2654-23e8-43de-a8fa-d981d7f13e40SPL set ID 33bf2df5-bc53-4d57-a9e7-41f3fc0a03f0RxCUI 1046787UNII 03J5ZE7KA5, 451IFR0GXB, F2R8V82B84, YQE403BP4DUPC 0350742665167, 0350742665044, 0350742666041
- Pharmacologic class
- Anticholinergic; Cholinergic Muscarinic Antagonist
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
N450742066604followed by a unit qualifier and the quantityPackage 50742-0666-04. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.