NDC codes

FDA NDC Directory
Product NDC (as listed)63629-4465Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-4465Add 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
63629-4465-16362944650130 TABLET in 1 BOTTLE (63629-4465-1)Marketed from Aug 16, 2024
63629-4465-26362944650214 TABLET in 1 BOTTLE (63629-4465-2)Marketed from Aug 16, 2024

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)
Hydroxychloroquine Sulfate
Generic name (nonproprietary)
hydroxychloroquine sulfate
Active ingredients
Hydroxychloroquine sulfate — 300 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210441
Marketing start
Listing expires
Identifiers
Product ID 63629-4465_55eb56c0-c585-4373-a3a4-9276aaeae6d6SPL ID 55eb56c0-c585-4373-a3a4-9276aaeae6d6SPL set ID 2c109188-d28b-4c65-8b52-819bd8547f2eRxCUI 2569283UNII 8Q2869CNVH
Pharmacologic class
Antimalarial; Antirheumatic Agent

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

N463629446501 followed by a unit qualifier and the quantity

Package 63629-4465-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 210441

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

FDA NDC Directory listings under ANDA 210441
ProductStrengthForm · routeLabelerProduct NDC
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-3567
Hydroxychloroquine SulfateHydroxychloroquine sulfate 400 mg/1Tablet, Film coatedOralDr. Reddy's Laboratories Inc.43598-131
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1Tablet, Film coatedOralDr. Reddy's Laboratories Inc.43598-721
Hydroxychloroquine SulfateHydroxychloroquine sulfate 300 mg/1Tablet, Film coatedOralDr. Reddy's Laboratories Inc.43598-132
Hydroxychloroquine SulfateHydroxychloroquine sulfate 100 mg/1Tablet, Film coatedOralDr. Reddy's Laboratories Inc.43598-133
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-701
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-7046
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1Tablet, Film coatedOralAvPAK50268-412

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