NDC codes

FDA NDC Directory
Product NDC (as listed)63629-9244Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-9244Add 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
63629-9244-1636299244016362992440130 CAPSULE in 1 BOTTLE (63629-9244-1)Marketed from Mar 21, 2022

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)
Hydroxyzine Pamoate
Generic name (nonproprietary)
hydroxyzine pamoate
Active ingredients
Hydroxyzine pamoate — 100 mg/1
Dosage form
Capsule
Route
Oral
Labeler
Bryant Ranch PrepackNDC labeler code 63629
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 088488
Marketing start
Listing expires
Other FDA classes
Histamine Receptor Antagonists (Mechanism)
Identifiers
Product ID 63629-9244_a522d2fd-1839-4c5c-bbd8-43e95d8913d1SPL ID a522d2fd-1839-4c5c-bbd8-43e95d8913d1SPL set ID 8cf49dda-580a-4263-bd36-f457d0aea922RxCUI 995232UNII M20215MUFR
Pharmacologic class
Antihistamine

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

N463629924401 followed by a unit qualifier and the quantity

Package 63629-9244-01. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS AND USAGE For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested. Useful in the management of pruritus due to allergic conditions such as chronic urticaria and atopic and contact dermatoses, and in histamine-mediated pruritus. As a sedative when used as premedication and following general anesthesia, Hydroxyzine may potentiate meperidine (Demerol ® ) and barbiturates , so their use in pre-anesthetic adjunctive therapy should be modified on an individual basis. Atropine and other belladonna alkaloids are not affected by the drug. Hydroxyzine is not known to interfere with the action of…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63629-9244

What is NDC 63629-9244?
63629-9244 is the product NDC for Hydroxyzine Pamoate, Hydroxyzine pamoate 100 mg/1 capsule, listed with the FDA by Bryant Ranch Prepack. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Hydroxyzine Pamoate.
What is the active ingredient?
Hydroxyzine pamoate.
Who is the labeler?
Bryant Ranch Prepack, NDC labeler code 63629. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Hydroxyzine Pamoate?
81 other product NDCs are listed under this name. See all Hydroxyzine Pamoate 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 Hydroxyzine Pamoate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralUnit Dose Solutions, Inc.87441-08787441-0087-01
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralUnit Dose Solutions, Inc.87441-04087441-0040-01
Hydroxyzine pamoateHydroxyzine pamoate 50 mg/1CapsuleOralUnit Dose Solutions, Inc.87441-04187441-0041-01
Hydroxyzine pamoateHydroxyzine pamoate 50 mg/1CapsuleOralUnit Dose Solutions, Inc.87441-04287441-0042-01
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralCoupler LLC67046-028167046-0281-03
Hydroxyzine pamoateHydroxyzine pamoate 50 mg/1CapsuleOralCoupler LLC67046-083167046-0831-03
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralCoupler LLC67046-208667046-2086-03
hydroxyzine pamoateHydroxyzine pamoate 50 mg/1CapsuleOralREMEDYREPACK INC.70518-446370518-4463-0070518-4463-01
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralBryant Ranch Prepack72162-105472162-1054-03
hydroxyzine pamoateHydroxyzine pamoate 50 mg/1CapsuleOralPreferred Pharmaceuticals Inc.68788-878968788-8789-03

All 82 Hydroxyzine Pamoate NDCs

Other NDCs under ANDA 088488

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

FDA NDC Directory listings under ANDA 088488
ProductStrengthForm · routeLabelerProduct NDC
Hydroxyzine PamoateHydroxyzine pamoate 100 mg/1CapsuleOralTeva Pharmaceuticals USA, Inc.0555-0324
Hydroxyzine PamoateHydroxyzine pamoate 100 mg/1CapsuleOralREMEDYREPACK INC.70518-2769
Hydroxyzine PamoateHydroxyzine pamoate 100 mg/1CapsuleOralAsclemed USA, Inc.76420-922

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