NDC codes

FDA NDC Directory
Product NDC (as listed)62011-0412Labeler and product segments. Claims need a package NDC.
Product NDC at billing width62011-0412Add 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
62011-0412-1620110412011 BLISTER PACK in 1 CARTON (62011-0412-1) / 12 TABLET in 1 BLISTER PACKMarketed from Sep 12, 2019

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
HealthMart Maximum Strength Urinary Pain Relief
Generic name (nonproprietary)
phenazopyridine hydrochloride
Active ingredients
Phenazopyridine hydrochloride99.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 62011-0412_c642b394-890c-455c-ba39-8b2fa8ddb04cSPL ID c642b394-890c-455c-ba39-8b2fa8ddb04cSPL set ID bbe3cc73-0822-4c89-b6b7-bcf5af12b6b9RxCUI 1094147UNII 0EWG668W17UPC 0052569142776

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

N462011041201 followed by a unit qualifier and the quantity

Package 62011-0412-01. 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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