NDC codes

FDA NDC Directory
Product NDC (as listed)55758-304Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55758-0304Add 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
55758-304-0455758030404557580304041 BOTTLE in 1 CARTON (55758-304-04) / 118 mL in 1 BOTTLEMarketed from Aug 7, 2020

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 Children
Generic name (nonproprietary)
ibuprofen
Active ingredients
Ibuprofen — 100 mg/100mL
Dosage form
Liquid
Route
Oral
Labeler
Pharmadel LLCNDC labeler code 55758
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210602
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
Identifiers
Product ID 55758-304_ac3c264f-da36-a474-e053-2a95a90abdadSPL ID ac3c264f-da36-a474-e053-2a95a90abdadSPL set ID ac3c264f-da37-a474-e053-2a95a90abdadUNII 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

N455758030404 followed by a unit qualifier and the quantity

Package 55758-0304-04. 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 the common cold, flu, sore throat, headache and toothache reduces fever

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 55758-304

What is NDC 55758-304?
55758-304 is the product NDC for Dolex Children (ibuprofen), Ibuprofen 100 mg/100mL liquid, listed with the FDA by Pharmadel LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dolex Children (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 Children?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under ANDA 210602

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

FDA NDC Directory listings under ANDA 210602
ProductStrengthForm · routeLabelerProduct NDC
Childrens IbuprofenibuprofenIbuprofen 100 mg/5mLSuspensionOralAmerican Health Packaging60687-743
Childrens Ibuprofen GrapeibuprofenIbuprofen 100 mg/5mLSuspensionOralAptaPharma Inc.76281-126
Childrens Ibuprofen Oral SuspensionibuprofenIbuprofen 100 mg/5mLSuspensionOralDEMOULAS SUPERMARKETS INC.53942-119
Childrens Ibuprofen Oral SuspensionibuprofenIbuprofen 100 mg/5mLSuspensionOralDiscount Drug Mart53943-119
Childrens Ibuprofen Oral SuspensionibuprofenIbuprofen 100 mg/5mLSuspensionOralChain Drug Marketing Association, Inc.63868-796
Childrens Ibuprofen Oral SuspensionibuprofenIbuprofen 100 mg/5mLSuspensionOralMarc Glassman, Inc.68998-320
Childrens Ibuprofen Oral SuspensionibuprofenIbuprofen 100 mg/5mLSuspensionOralAptaPharma Inc.76281-119
Childrens Ibuprofen Oral Suspension Dye freeibuprofenIbuprofen 100 mg/5mLSuspensionOralAptaPharma Inc.76281-128
Childrens Ibuprofen Oral Suspension Dye FreeibuprofenIbuprofen 100 mg/5mLSuspensionOralFSA Store Inc. (Caring Mill)81522-311
Childrens Ibuprofen Oral Suspension Original Berry FlavoribuprofenIbuprofen 100 mg/5mLSuspensionOralPuro Pharma Inc.83474-002
Childrens Ibuprofen Oral Suspension, Bubble GumibuprofenIbuprofen 100 mg/5mLSuspensionOralBest Choice63941-127
Childrens Ibuprofen Oral Suspension, Dye FreeibuprofenIbuprofen 100 mg/5mLSuspensionOralBest Choice63941-128
Ibuprofen OralIbuprofen 100 mg/5mLSuspensionOralA-S Medication Solutions50090-4129
Ibuprofen OralIbuprofen 100 mg/5mLSuspensionOralBryant Ranch Prepack63629-8540
Ibuprofen OralIbuprofen 100 mg/5mLSuspensionOralBryant Ranch Prepack63629-8851
Ibuprofen OralIbuprofen 100 mg/5mLSuspensionOralBryant Ranch Prepack63629-8852
Ibuprofen OralIbuprofen 100 mg/5mLSuspensionOralBryant Ranch Prepack63629-8853
Ibuprofen OralIbuprofen 100 mg/5mLSuspensionOralNuCare Pharmaceuticals,Inc.68071-1628
Ibuprofen OralIbuprofen 100 mg/5mLSuspensionOralCamber Consumer Care Inc69230-308
Ibuprofen OralIbuprofen 100 mg/5mLSuspensionOralCamber Consumer Care Inc69230-309

Showing 20 of 37.

Free account

Log in to keep searching

You’ve used your 3 free searches. Med-Code is free: log in or create a free profile to keep looking up NDCs, J-codes and drugs.

Create a free profileLog in