NDC codes

FDA NDC Directory
Product NDC (as listed)55910-241Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0241Add 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
55910-241-465591002414610 BLISTER PACK in 1 CARTON (55910-241-46) / 1 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Jun 17, 2021

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)
DG Health Allergy Relief
Generic name (nonproprietary)
levocetirizine dihydrochloride
Active ingredients
Levocetirizine dihydrochloride — 5 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211983
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 55910-241_470fee97-daab-4967-9c0e-77bacfb2ccd8SPL ID 470fee97-daab-4967-9c0e-77bacfb2ccd8SPL set ID 470fee97-daab-4967-9c0e-77bacfb2ccd8RxCUI 855172UNII SOD6A38AGA
Pharmacologic class
Histamine-1 Receptor Antagonist

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

N455910024146 followed by a unit qualifier and the quantity

Package 55910-0241-46. 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

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