NDC codes

FDA NDC Directory
Product NDC (as listed)50742-667Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50742-0667Add 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
50742-667-015074206670150742066701100 TABLET in 1 BOTTLE, PLASTIC (50742-667-01)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

Generic name (nonproprietary)
phenobarbital, hyoscyamine sulfate, atropine sulfate and scopolamine hydrobromide
Active ingredients
Phenobarbital — 16.2 mg/1Hyoscyamine sulfate — .1037 mg/1Atropine sulfate — .0194 mg/1Scopolamine hydrobromide — .0065 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Ingenus Pharmaceuticals, LLCNDC labeler code 50742
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 50742-667_3796f3d7-7e45-4a49-aaa2-7363c197b2f2SPL ID 3796f3d7-7e45-4a49-aaa2-7363c197b2f2SPL set ID 0dd71f55-e009-48dd-809d-5f651f7521deRxCUI 1046815UNII YQE403BP4D, F2R8V82B84, 03J5ZE7KA5, 451IFR0GXBUPC 0350742667017
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

N450742066701 followed by a unit qualifier and the quantity

Package 50742-0667-01. 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 .

Full label on DailyMed (opens in a new tab)

About NDC 50742-667

What is NDC 50742-667?
50742-667 is the product NDC for Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate and Scopolamine Hydrobromide, Phenobarbital 16.2 mg/1 + 3 more ingredients tablet, listed with the FDA by Ingenus Pharmaceuticals, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate and Scopolamine Hydrobromide.
What is the active ingredient?
Phenobarbital, Hyoscyamine sulfate, Atropine sulfate, Scopolamine hydrobromide.
Who is the labeler?
Ingenus Pharmaceuticals, LLC, NDC labeler code 50742. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate and Scopolamine Hydrobromide?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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