NDC codes

FDA NDC Directory
Product NDC (as listed)55289-090Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55289-0090Add 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
55289-090-155528900901515 TABLET in 1 BOTTLE, PLASTIC (55289-090-15)Marketed from Jan 20, 2017
55289-090-305528900903030 TABLET in 1 BOTTLE, PLASTIC (55289-090-30)Marketed from Feb 11, 2016
55289-090-905528900909090 TABLET in 1 BOTTLE, PLASTIC (55289-090-90)Marketed from Feb 16, 2016

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)
Triamterene and Hydrochlorothiazide
Generic name (nonproprietary)
triamterene and hydrochlorothiazide
Active ingredients
Triamterene37.5 mg/1Hydrochlorothiazide25 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 073449
Marketing start
Listing expires
Other FDA classes
Decreased Renal K+ Excretion (Physiologic effect)Increased Diuresis (Physiologic effect)Increased Diuresis (Physiologic effect)Thiazides (Chemical structure)
Identifiers
Product ID 55289-090_41999499-b90e-0afa-e063-6294a90aea28SPL ID 41999499-b90e-0afa-e063-6294a90aea28SPL set ID e505484d-b600-4d13-a4b9-278dc4a2e73aRxCUI 310812UNII WS821Z52LQ, 0J48LPH2TH
Pharmacologic class
Potassium-sparing Diuretic; Thiazide Diuretic

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

N455289009015 followed by a unit qualifier and the quantity

Package 55289-0090-15. 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)

INDICATIONS AND USAGE This fixed combination drug is not indicated for the initial therapy of edema or hypertension except in individuals in whom the development of hypokalemia cannot be risked. Triamterene and hydrochlorothiazide tablets are indicated for the treatment of hypertension or edema in patients who develop hypokalemia on hydrochlorothiazide alone. Triamterene and hydrochlorothiazide tablets are also indicated for those patients who require a thiazide diuretic and in whom the development of hypokalemia cannot be risked (e.g., patients on concomitant digitalis preparations, or with a history of cardiac arrhythmias, etc.). Triamterene and hydrochlorothiazide tablets may be used alon

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 073449

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

FDA NDC Directory listings under ANDA 073449
ProductStrengthForm · routeLabelerProduct NDC
Triamterene and HydrochlorothiazideTriamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1TabletOralBryant Ranch Prepack71335-0968
Triamterene and HydrochlorothiazideTriamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1TabletOralPreferred Pharmaceuticals, Inc.68788-7526
Triamterene and HydrochlorothiazideTriamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-2371
Triamterene and HydrochlorothiazideTriamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1TabletOralA-S Medication Solutions50090-1270
Triamterene and HydrochlorothiazideTriamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1TabletOralREMEDYREPACK INC.70518-1662
Triamterene and HydrochlorothiazideTriamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1TabletOralBluePoint Laboratories68001-387
Triamterene and HydrochlorothiazideTriamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1TabletOralActavis Pharma, Inc.0591-0424
Triamterene and HydrochlorothiazideTriamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-1834

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