NDC codes

FDA NDC Directory
Product NDC (as listed)55289-866Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55289-0866Add 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
55289-866-015528908660155289086601100 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-01)Marketed from Jul 17, 2014
55289-866-0255289086602552890866022 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-02)Marketed from Jul 2, 2015
55289-866-0455289086604552890866044 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-04)Marketed from Mar 3, 2004
55289-866-0655289086606552890866066 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-06)Marketed from Dec 2, 2008
55289-866-0755289086607552890866077 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-07)Marketed from Sep 7, 2016
55289-866-10552890866105528908661010 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-10)Marketed from Dec 2, 2008
55289-866-20552890866205528908662020 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-20)Marketed from Jul 24, 2007
55289-866-28552890866285528908662828 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-28)Marketed from Dec 2, 2008
55289-866-30552890866305528908663030 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-30)Marketed from Dec 29, 2008
55289-866-50552890866505528908665050 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-50)Marketed from Dec 26, 2024
55289-866-60552890866605528908666060 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-60)Marketed from Dec 2, 2008
55289-866-715528908667155289086671210 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-71)Marketed from Dec 22, 2008
55289-866-745528908667455289086674400 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-74)Marketed from Dec 2, 2008
55289-866-825528908668255289086682500 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-82)Marketed from Dec 26, 2024
55289-866-855528908668555289086685330 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-85)Marketed from Dec 2, 2008
55289-866-865528908668655289086686360 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-86)Marketed from Dec 2, 2008
55289-866-875528908668755289086687300 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-87)Marketed from Dec 2, 2008
55289-866-90552890866905528908669090 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-90)Marketed from Dec 29, 2008
55289-866-935528908669355289086693180 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-93)Marketed from Dec 29, 2008
55289-866-9555289086695552890866951000 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-95)Marketed from Dec 26, 2024
55289-866-985528908669855289086698120 TABLET, COATED in 1 BOTTLE, PLASTIC (55289-866-98)Marketed from Jul 17, 2014

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)
Doxycycline
Generic name (nonproprietary)
doxycycline hyclate
Active ingredients
Doxycycline hyclate — 100 mg/1
Dosage form
Tablet, Coated
Route
Oral
Labeler
PD-Rx Pharmaceuticals, Inc.NDC labeler code 55289
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 065095
Marketing start
Listing expires
Other FDA classes
Tetracyclines (Chemical structure)
Identifiers
Product ID 55289-866_5412f4e5-3c49-be12-e063-6394a90ac00aSPL ID 5412f4e5-3c49-be12-e063-6394a90ac00aSPL set ID c96d3986-9d92-4ec4-a319-a50aeb2f4fe7RxCUI 1650143UNII 19XTS3T51UUPC 0355289866954
Pharmacologic class
Tetracycline-class Drug

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

N455289086601 followed by a unit qualifier and the quantity

Package 55289-0866-01. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS AND USAGE To reduce the development of drug-resistant bacteria and maintain effectiveness of Doxycycline Hyclate Tablets and other antibacterial drugs, Doxycycline Hyclate Tablets should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy. Treatment Doxycycline is indicated for the treatment of the following infections: Rocky Mountain spotted fever, typhus …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 55289-866

What is NDC 55289-866?
55289-866 is the product NDC for Doxycycline (doxycycline hyclate), Doxycycline hyclate 100 mg/1 tablet, coated, listed with the FDA by PD-Rx Pharmaceuticals, Inc.. It has 21 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Doxycycline (Doxycycline Hyclate).
What is the active ingredient?
Doxycycline hyclate.
Who is the labeler?
PD-Rx Pharmaceuticals, Inc., NDC labeler code 55289. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Doxycycline?
136 other product NDCs are listed under this name. See all Doxycycline NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Doxycycline NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
DoxycyclineDoxycycline 100 mg/1CapsuleOralREMEDYREPACK INC.70518-476270518-4762-00
doxycyclineDoxycycline 50 mg/1CapsuleOralSafecor Health, LLC48433-15848433-0158-03
doxycyclineDoxycycline 100 mg/1CapsuleOralSafecor Health, LLC48433-15948433-0159-03
doxycyclineDoxycycline 100 mg/1CapsuleOralCoupler LLC67046-126067046-1260-03
doxycyclineDoxycycline hyclate 100 mg/1CapsuleOralPreferred Pharmaceuticals Inc.68788-417668788-4176-0068788-4176-0168788-4176-02+3 more
doxycyclineDoxycycline hyclate 100 mg/1CapsuleOralREMEDYREPACK INC.70518-465570518-4655-0070518-4655-01
DoxycyclineDoxycycline hyclate 100 mg/100mgInjection, Powder, Lyophilized, For solutionIntravenousSteriscience Specialties Private Limited82449-00882449-0008-02
DoxycyclineDoxycycline 100 mg/1CapsuleOralAmerican Health Packaging60687-94360687-0943-21
DoxycyclineDoxycycline hyclate 100 mg/10mLInjection, Powder, Lyophilized, For solutionIntravenousJVET PHARMACEUTICALS LLC86211-11686211-0116-10
DoxycyclineDoxycycline 40 mg/1CapsuleOralAiPing Pharmaceutical, Inc.11788-13411788-0134-30

All 137 Doxycycline NDCs

Other NDCs under ANDA 065095

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

FDA NDC Directory listings under ANDA 065095
ProductStrengthForm · routeLabelerProduct NDC
Doxycyclinedoxycycline hyclateDoxycycline hyclate 100 mg/1Tablet, CoatedOralREMEDYREPACK INC.70518-3039
Doxycyclinedoxycycline hyclateDoxycycline hyclate 100 mg/1Tablet, CoatedOralCardinal Health 107, LLC55154-7128
Doxycycline HyclateDoxycycline hyclate 100 mg/1Tablet, CoatedOralNorthwind Health Company, LLC51655-998
Doxycycline HyclateDoxycycline hyclate 100 mg/1Tablet, CoatedOralCardinal Health 107, LLC55154-8079
Doxycycline HyclateDoxycycline hyclate 100 mg/1Tablet, CoatedOralMajor Pharmaceuticals0904-0430
Doxycycline HyclateDoxycycline hyclate 100 mg/1Tablet, CoatedOralQPharma, Inc.42708-173
Doxycycline HyclateDoxycycline hyclate 100 mg/1Tablet, CoatedOralA-S Medication Solutions50090-7580
Doxycycline HyclateDoxycycline hyclate 100 mg/1Tablet, CoatedOralHikma Pharmaceuticals USA Inc.0143-2112
Doxycycline HyclateDoxycycline hyclate 100 mg/1Tablet, CoatedOralAmerican Health Packaging62584-693

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