NDC codes

FDA NDC Directory
Product NDC (as listed)55154-3567Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55154-3567Add 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
55154-3567-05515435670010 BLISTER PACK in 1 BAG (55154-3567-0) / 1 TABLET, FILM COATED in 1 BLISTER PACKMarketed from May 1, 2018

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
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210441
Marketing start
Listing expires
Identifiers
Product ID 55154-3567_ddab4d1a-867d-40df-8b31-fbbb9351b60bSPL ID ddab4d1a-867d-40df-8b31-fbbb9351b60bSPL set ID e5fe2ece-40a1-49eb-818f-62ff3c3bb199RxCUI 979092UNII 8Q2869CNVH
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

N455154356700 followed by a unit qualifier and the quantity

Package 55154-3567-00. 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)

Hydroxychloroquine Sulfate Tablets are 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 are not recommended for the: • Treatment of complicated malaria. • Tre…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 210441

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

FDA NDC Directory listings under ANDA 210441
ProductStrengthForm · routeLabelerProduct NDC
Hydroxychloroquine SulfateHydroxychloroquine sulfate 300 mg/1TabletOralBryant Ranch Prepack63629-4465
Hydroxychloroquine SulfateHydroxychloroquine sulfate 400 mg/1Tablet, Film coatedOralDr. Reddy's Laboratories Inc.43598-131
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1Tablet, Film coatedOralDr. Reddy's Laboratories Inc.43598-721
Hydroxychloroquine SulfateHydroxychloroquine sulfate 300 mg/1Tablet, Film coatedOralDr. Reddy's Laboratories Inc.43598-132
Hydroxychloroquine SulfateHydroxychloroquine sulfate 100 mg/1Tablet, Film coatedOralDr. Reddy's Laboratories Inc.43598-133
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-701
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-7046
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1Tablet, Film coatedOralAvPAK50268-412

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