NDC codes

FDA NDC Directory
Product NDC (as listed)55758-014Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55758-0014Add 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
55758-014-2055758001420557580014201 BOTTLE in 1 CARTON (55758-014-20) / 20 CAPSULE, LIQUID FILLED in 1 BOTTLEMarketed from Sep 7, 2023
55758-014-99557580014995575800149950 PACKET in 1 CARTON (55758-014-99) / 2 CAPSULE, LIQUID FILLED in 1 PACKET (55758-014-02)Marketed from Nov 1, 2023

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)
Dolex Flex
Generic name (nonproprietary)
ibuprofen
Active ingredients
Ibuprofen — 200 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Labeler
Pharmadel LLCNDC labeler code 55758
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078682
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
Identifiers
Product ID 55758-014_4d7a9ecd-d071-a923-e063-6394a90ad412SPL ID 4d7a9ecd-d071-a923-e063-6394a90ad412SPL set ID 0543420d-a250-065d-e063-6294a90a005eRxCUI 310964UNII WK2XYI10QM

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

N455758001420 followed by a unit qualifier and the quantity

Package 55758-0014-20. 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)

Uses temporarily relieves minor aches and pains due to: headache toothache backache menstrual cramps the common cold muscular aches minor pain from arthritis and to reduce fever

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 55758-014

What is NDC 55758-014?
55758-014 is the product NDC for Dolex Flex (ibuprofen), Ibuprofen 200 mg/1 capsule, liquid filled, listed with the FDA by Pharmadel LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dolex Flex (Ibuprofen).
What is the active ingredient?
Ibuprofen.
Who is the labeler?
Pharmadel LLC, NDC labeler code 55758. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Dolex Flex?
1 other product NDC are listed under this name. See all Dolex Flex 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 Dolex Flex NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dolex FlexibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralPharmadel LLC55758-310—

Other NDCs under ANDA 078682

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

FDA NDC Directory listings under ANDA 078682
ProductStrengthForm · routeLabelerProduct NDC
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralBJWC68391-212
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralMEIJER DISTRIBUTION INC.41250-286
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralMEIJER DISTRIBUTION INC.41250-292
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralMEIJER DISTRIBUTION INC.41250-293
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralBi-Mart37835-588
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralWhole Foods Market, INC.42681-0052
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralRite Aid Corporation11822-0589
Ibuprofen, Solubilized 24/7 Life by 7-Elevenibuprofen capsule, liquid filledIbuprofen 200 mg/1Capsule, Liquid filledOralLil' Drug Store products, Inc.66715-5646
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralHEB37808-609
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralTOP CARE (Topco Associates LLC)36800-193
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralWALGREEN COMPANY0363-0221
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralCostco Wholesale63981-598
Motrin IB MigraineibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralKenvue Brands LLC50580-120
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralCardinal Health (Leader) 7000070000-0571
Ibuprofen 200ibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralWALGREEN COMPANY0363-0222
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralTOP CARE (Topco Associates LLC)36800-221
Ibuprofen MigraineibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralCVS Pharmacy69842-892
Dye-Free Ibuprofen 200ibuprofenIbuprofen 200 mg/1201Capsule, Liquid filledOralWALGREEN COMPANY0363-0225
Pain ReliefibuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralAlbertsons Companies21130-220
IbuprofenIbuprofen 200 mg/1Capsule, Liquid filledOralH E B37808-699

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