NDC codes

FDA NDC Directory
Product NDC (as listed)54838-502Labeler and product segments. Claims need a package NDC.
Product NDC at billing width54838-0502Add 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
54838-502-8054838050280473 mL in 1 BOTTLE, PLASTIC (54838-502-80)Marketed from Aug 21, 2013

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)
Hydroxyzine Hydrochloride
Generic name (nonproprietary)
hydroxyzine hydrochloride
Active ingredients
Hydroxyzine dihydrochloride — 10 mg/5mL
Dosage form
Solution
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 201674
Marketing start
Listing expires
Other FDA classes
Histamine Receptor Antagonists (Mechanism)
Identifiers
Product ID 54838-502_823645dc-4e60-4279-97fa-ca0d1c1d7ad8SPL ID 823645dc-4e60-4279-97fa-ca0d1c1d7ad8SPL set ID a4fb61ae-aad6-4bd6-83fc-8b227f175df9RxCUI 995241UNII 76755771U3UPC 0354838502800
Pharmacologic class
Antihistamine

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

N454838050280 followed by a unit qualifier and the quantity

Package 54838-0502-80. 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 201674

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

FDA NDC Directory listings under ANDA 201674
ProductStrengthForm · routeLabelerProduct NDC
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 10 mg/5mLSolutionOralChartwell RX, LLC62135-502
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 10 mg/5mLSolutionOralATLANTIC BIOLOGICALS CORP.17856-0507

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