NDC codes

FDA NDC Directory
Product NDC (as listed)52817-375Labeler and product segments. Claims need a package NDC.
Product NDC at billing width52817-0375Add 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
52817-375-305281703753030 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC (52817-375-30)Marketed from Jan 11, 2024

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)
Clonidine
Generic name (nonproprietary)
clonidine
Active ingredients
Clonidine — .17 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 022500
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha2-Agonists (Mechanism)
Identifiers
Product ID 52817-375_0eb6d1fe-949a-312a-e063-6294a90ae10cSPL ID 0eb6d1fe-949a-312a-e063-6294a90ae10cSPL set ID 2311836b-de63-4e8c-a021-600c40110024RxCUI 885880UNII MN3L5RMN02UPC 0352817375308
Pharmacologic class
Central alpha-2 Adrenergic Agonist

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

N452817037530 followed by a unit qualifier and the quantity

Package 52817-0375-30. 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)

Clonidine extended-release tablets are indicated in the treatment of hypertension. Clonidine extended-release tablets may be employed alone or concomitantly with other antihypertensive agents. Clonidine extended-release tablets are a central alpha-adrenergic agonist indicated for: Treatment of hypertension ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 022500

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

FDA NDC Directory listings under NDA 022500
ProductStrengthForm · routeLabelerProduct NDC
Nexiclon XRclonidineClonidine .17 mg/1Tablet, Extended releaseOralRosemont Pharmaceuticals LLC71511-503
ClonidineClonidine .17 mg/1Tablet, Extended releaseOralPALMETTO PHARMACEUTICALS INC.68134-603

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