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
55910-241-46559100241465591002414610 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
Labeler
Dolgencorp, LLCNDC labeler code 55910
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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Uses temporarily relieves these symptoms due to hay fever or other respiratory allergies: • runny nose • itchy, watery eyes • sneezing • itching of the nose or throat

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 55910-241

What is NDC 55910-241?
55910-241 is the product NDC for DG Health Allergy Relief (levocetirizine dihydrochloride), Levocetirizine dihydrochloride 5 mg/1 tablet, film coated, listed with the FDA by Dolgencorp, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
DG Health Allergy Relief (Levocetirizine dihydrochloride).
What is the active ingredient?
Levocetirizine dihydrochloride.
Who is the labeler?
Dolgencorp, LLC, NDC labeler code 55910. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for DG Health Allergy Relief?
5 other product NDCs are listed under this name. See all DG Health Allergy Relief 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 DG Health Allergy Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
dg health allergy reliefloratadineLoratadine 10 mg/1Tablet, Orally disintegratingOralDolgencorp, LLC55910-59455910-0594-4655910-0594-65
dg health allergy reliefloratadineLoratadine 10 mg/1Tablet, Orally disintegratingOralDolgencorp, LLC55910-97055910-0970-46
dg health allergy reliefloratadineLoratadine 10 mg/1Capsule, Liquid filledOralDolgencorp Inc55910-62955910-0629-52
DG Health Allergy Reliefdiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1TabletOralDolgencorp Inc55910-92355910-0923-78
dg health allergy reliefloratadineLoratadine 10 mg/1TabletOralDolgencorp Inc55910-80655910-0806-46

Other NDCs under ANDA 211983

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

FDA NDC Directory listings under ANDA 211983
ProductStrengthForm · routeLabelerProduct NDC
allergy relieflevocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, Film coatedOralWalgreen Company0363-3901
allergy relieflevocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, Film coatedOralRite Aid Corporation11822-0241
Allergy Relieflevocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, Film coatedOralMeijer Distribution Inc41250-488
Allergy Relieflevocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-784
basic care allergy relieflevocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-241
good sense levocetirizinelevocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, Film coatedOralL. Perrigo Company0113-0241
Topcare All Day Allergylevocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, Film coatedOralTopco Associates LLC36800-241

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