NDC codes

FDA NDC Directory
Product NDC (as listed)52817-290Labeler and product segments. Claims need a package NDC.
Product NDC at billing width52817-0290Add 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
52817-290-1052817029010100 CAPSULE in 1 BOTTLE (52817-290-10)Marketed from Jun 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)
Oxazepam
Generic name (nonproprietary)
oxazepam
Active ingredients
Oxazepam10 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 071026
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Benzodiazepines (Chemical structure)
Identifiers
Product ID 52817-290_2a9ebd02-ff4a-2aa2-e063-6394a90a6fdeSPL ID 2a9ebd02-ff4a-2aa2-e063-6394a90a6fdeSPL set ID bda8bc70-3328-46f2-89d5-7ef7a061b418RxCUI 198057, 198059, 312134UNII 6GOW6DWN2AUPC 0352817292100, 0352817290106
Pharmacologic class
Benzodiazepine

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

N452817029010 followed by a unit qualifier and the quantity

Package 52817-0290-10. 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 . This label includes a boxed warning.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 071026

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

FDA NDC Directory listings under ANDA 071026
ProductStrengthForm · routeLabelerProduct NDC
OxazepamOxazepam 30 mg/1CapsuleOralTruPharma, LLC52817-292
OxazepamOxazepam 15 mg/1CapsuleOralTruPharma, LLC52817-291
OxazepamOxazepam 15 mg/1CapsuleOralAphena Pharma Solutions - Tennessee, LLC71610-639

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