Prescription drug · ANDA
Hydroxychloroquine sulfate NDC 55154-2074
Hydroxychloroquine sulfate 200 mg/1 · Tablet, Film coated · Oral · Cardinal Health 107, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 55154-2074-0 | 55154207400 | 10 BLISTER PACK in 1 BAG (55154-2074-0) / 1 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Aug 5, 2008 |
How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
- Hydroxychloroquine sulfate
- Generic name (nonproprietary)
- hydroxychloroquine sulfate
- Active ingredients
- Hydroxychloroquine sulfate — 200 mg/1
- Dosage form
- Tablet, Film coated
- Route
- Oral
- Labeler
- Cardinal Health 107, LLC
- Product type
- Prescription drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 040657
- Marketing start
- Listing expires
- Identifiers
- Product ID 55154-2074_dd63f36e-0e5c-431f-a376-ff55982ddb83SPL ID dd63f36e-0e5c-431f-a376-ff55982ddb83SPL set ID 6971241c-8323-456e-91a4-a404a9e100deRxCUI 979092UNII 8Q2869CNVHUPC 0055154207409
- Pharmacologic class
- Antimalarial; Antirheumatic Agent
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
N455154207400followed by a unit qualifier and the quantityPackage 55154-2074-00. 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)
1. INDICATIONS AND USAGE Hydroxychloroquine sulfate tablets is an antimalarial and antirheumatic indicated for the: • Treatment of uncomplicated malaria due to Plasmodium falciparum, Plasmodium malariae, Plasmodium ovale, and Plasmodium vivax in adult and pediatric patients. (1.1) • Prophylaxis of malaria in geographic areas where chloroquine resistance is not reported in adult and pediatric patients. (1.1) • Treatment of rheumatoid arthritis in adults. (1.2) • Treatment of systemic lupus erythematosus in adults. (1.3) • Treatment of chronic discoid lupus erythematosus in adults. (1.4) Limitations of Use (1.1) : Hydroxychloroquine sulfate Tablets is not recommended for the: • Treatment of co…
Excerpt only. Read the full label for complete information.
Other NDCs under ANDA 040657
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | Quallent Pharmaceuticals Health LLC | 82009-045 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | Aphena Pharma Solutions - Tennessee, LLC | 71610-506 |
| Hydroxychloroquine Sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | American Health Packaging | 68084-269 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | Northstar Rx LLC. | 16714-110 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | NuCare Pharmaceuticals, Inc. | 68071-3955 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | A-S Medication Solutions | 50090-5573 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | NuCare Pharmaceuticals,Inc. | 68071-2332 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | Zydus Pharmaceuticals USA Inc. | 68382-096 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | NCS HealthCare of KY, LLC dba Vangard Labs | 0615-8459 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | Preferred Pharmaceuticals, Inc. | 68788-7747 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | Asclemed USA, Inc. | 76420-850 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | A-S Medication Solutions | 50090-6629 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | A-S Medication Solutions | 50090-7307 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | A-S Medication Solutions | 50090-7306 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | Zydus Lifesciences Limited | 65841-633 |
| Hydroxychloroquine sulfate | Hydroxychloroquine sulfate 200 mg/1 | Tablet, Film coatedOral | Bryant Ranch Prepack | 71335-0897 |