NDC codes

FDA NDC Directory
Product NDC (as listed)62135-503Labeler and product segments. Claims need a package NDC.
Product NDC at billing width62135-0503Add 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
62135-503-306213505033030 TABLET, DELAYED RELEASE in 1 BOTTLE (62135-503-30)Marketed from Apr 27, 2023
62135-503-906213505039090 TABLET, DELAYED RELEASE in 1 BOTTLE (62135-503-90)Marketed from Apr 27, 2023

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)
Rabeprazole Sodium
Generic name (nonproprietary)
rabeprazole sodium
Active ingredients
Rabeprazole sodium — 20 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090678
Marketing start
Listing expires
Other FDA classes
Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 62135-503_45adfadd-b711-a916-e063-6394a90ac34cSPL ID 45adfadd-b711-a916-e063-6394a90ac34cSPL set ID c5c43222-d167-4152-b5c7-84b55920a7ceRxCUI 854868UNII 3L36P16U4RUPC 0362135503307
Pharmacologic class
Proton Pump Inhibitor

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

N462135050330 followed by a unit qualifier and the quantity

Package 62135-0503-30. 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)

Rabeprazole Sodium Delayed-Release Tablets are a proton pump inhibitor (PPI) indicated in adults for: Healing of Erosive or Ulcerative Gastroesophageal Reflux Disease (GERD) ( 1.1 ). Maintenance of Healing of Erosive or Ulcerative GERD ( 1.2 ). Treatment of Symptomatic GERD ( 1.3 ). Healing of Duodenal Ulcers ( 1.4 ). Helicobacter pylori Eradication to Reduce the Risk of Duodenal Ulcer Recurrence ( 1.5 ). Treatment of Pathological Hypersecretory Conditions, Including Zollinger-Ellison Syndrome ( 1.6 ). In adolescent patients 12 years of age and older for: Short-term Treatment of Symptomatic GERD ( 1.7 ). 1.1 Healing of Erosive or Ulcerative GERD in Adults Rabeprazole Sodium Delayed-Release T…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090678

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

FDA NDC Directory listings under ANDA 090678
ProductStrengthForm · routeLabelerProduct NDC
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralProficient Rx LP63187-259
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralGolden State Medical Supply, Inc.51407-184
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralLannett Company, Inc.62175-302
Rabeprazole SodiumRabeprazole sodium 20 mg/1Tablet, Delayed releaseOralBryant Ranch Prepack71335-0244

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