NDC codes

FDA NDC Directory
Product NDC (as listed)59212-422Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59212-0422Add 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
59212-422-045921204220459212042204118 mL in 1 BOTTLE (59212-422-04)Marketed from Dec 30, 1980
59212-422-10592120422105921204221010 mL in 1 BOTTLE (59212-422-10)Marketed from Dec 30, 1980
59212-422-165921204221659212042216473 mL in 1 BOTTLE (59212-422-16)Marketed from Dec 30, 1980

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)
Donnatal
Generic name (nonproprietary)
phenobarbital, hyoscyamine sulfate, atropine sulfate, scopolamine hydrobromide
Active ingredients
Phenobarbital — 16.2 mg/5mLHyoscyamine sulfate — .1037 mg/5mLAtropine sulfate — .0194 mg/5mLScopolamine hydrobromide — .0065 mg/5mL
Dosage form
Elixir
Route
Oral
Labeler
Advanz Pharma (US) Corp.NDC labeler code 59212
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Cholinergic Antagonists (Mechanism)Cholinergic Antagonists (Mechanism)Cholinergic Muscarinic Antagonists (Mechanism)
Identifiers
Product ID 59212-422_f15ad820-c07e-4e6b-a154-7ddca20bc838SPL ID f15ad820-c07e-4e6b-a154-7ddca20bc838SPL set ID 4dba30db-7979-455f-a225-24f0a04d744eRxCUI 1046787, 1046924UNII F2R8V82B84, YQE403BP4D, 451IFR0GXB, 03J5ZE7KA5UPC 0359212423047
Pharmacologic class
Anticholinergic; Cholinergic Muscarinic 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

N459212042204 followed by a unit qualifier and the quantity

Package 59212-0422-04. 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)

INDICATIONS AND USAGE Based on a review of this drug by the National Academy of Sciences-National Research Council and/or other information, FDA has classified the indications as follows: "Possibly" effective: For use as adjunctive therapy in the treatment of irritable bowel syndrome (irritable colon, spastic colon, mucous colitis) and acute enterocolitis. May also be useful as adjunctive therapy in the treatment of duodenal ulcer. Final classification of the less-than-effective indications requires further investigation. IT HAS NOT BEEN SHOWN CONCLUSIVELY WHETHER ANTICHOLINERGIC/ANTISPASMODIC DRUGS AID IN THE HEALING OF A DUODENAL ULCER, DECREASE THE RATE OF RECURRENCES OR PREVENT COMPLICAT…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 59212-422

What is NDC 59212-422?
59212-422 is the product NDC for Donnatal, Phenobarbital 16.2 mg/5mL + 3 more ingredients elixir, listed with the FDA by Advanz Pharma (US) Corp.. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Donnatal (Phenobarbital, hyoscyamine sulfate, atropine sulfate, scopolamine hydrobromide).
What is the active ingredient?
Phenobarbital, Hyoscyamine sulfate, Atropine sulfate, Scopolamine hydrobromide.
Who is the labeler?
Advanz Pharma (US) Corp., NDC labeler code 59212. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Donnatal?
3 other product NDCs are listed under this name. See all Donnatal 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 Donnatal NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Donnatalphenobarbital, hyoscyamine sulfate, atropine sulfate, scopolamine hydrobromidePhenobarbital 16.2 mg/5mL + 3 more ingredientsElixirOralVistaPharm, LLC66689-06366689-0063-1066689-0063-4066689-0063-50+1 more
Donnatalphenobarbital, hyoscyamine sulfate, atropine sulfate, scopolamine hydrobromidePhenobarbital 16.2 mg/5mL + 3 more ingredientsElixirOralAdvanz Pharma (US) Corp.59212-42359212-0423-0459212-0423-1059212-0423-16
Donnatalphenobarbital, hyoscyamine sulfate, atropine sulfate, scopolamine hydrobromidePhenobarbital 16.2 mg/1 + 3 more ingredientsTabletOralAdvanz Pharma (US) Corp.59212-42559212-0425-0459212-0425-10

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