NDC codes

FDA NDC Directory
Product NDC (as listed)55111-293Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55111-0293Add 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
55111-293-0155111029301100 TABLET in 1 BOTTLE (55111-293-01)Marketed from Nov 17, 2009
55111-293-0555111029305500 TABLET in 1 BOTTLE (55111-293-05)Marketed from Nov 17, 2009
55111-293-09551110293099 BLISTER PACK in 1 CARTON (55111-293-09) / 1 TABLET in 1 BLISTER PACKMarketed from Nov 17, 2009
55111-293-305511102933030 TABLET in 1 BOTTLE (55111-293-30)Marketed from Nov 17, 2009
55111-293-365511102933636 TABLET in 1 BOTTLE (55111-293-36)Marketed from Nov 17, 2009
55111-293-905511102939090 TABLET in 1 BOTTLE (55111-293-90)Marketed from Nov 17, 2009
55111-293-98551110293983 BLISTER PACK in 1 CARTON (55111-293-98) / 9 TABLET in 1 BLISTER PACKMarketed from Dec 10, 2020

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)
Sumatriptan Succinate
Generic name (nonproprietary)
sumatriptan succinate
Active ingredients
Sumatriptan succinate — 100 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076847
Marketing start
Listing expires
Other FDA classes
Serotonin 1b Receptor Agonists (Mechanism)Serotonin 1d Receptor Agonists (Mechanism)
Identifiers
Product ID 55111-293_3f0a2fa1-9b69-588d-f3f8-f2af5561edd0SPL ID 3f0a2fa1-9b69-588d-f3f8-f2af5561edd0SPL set ID ac80d018-6abf-2e41-ddea-90b4ff9e9013RxCUI 313160, 313161, 315223UNII J8BDZ68989
Pharmacologic class
Serotonin-1b and Serotonin-1d Receptor 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

N455111029301 followed by a unit qualifier and the quantity

Package 55111-0293-01. 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

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