NDC codes

FDA NDC Directory
Product NDC (as listed)64380-833Labeler and product segments. Claims need a package NDC.
Product NDC at billing width64380-0833Add 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
64380-833-0664380083306100 TABLET in 1 BOTTLE (64380-833-06)Marketed from Nov 20, 2017

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)
Acetazolamide
Generic name (nonproprietary)
acetazolamide
Active ingredients
Acetazolamide — 125 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209734
Marketing start
Listing expires
Other FDA classes
Carbonic Anhydrase Inhibitors (Mechanism)Sulfonamides (Chemical structure)
Identifiers
Product ID 64380-833_044344fc-a552-4e9e-8ced-060bfae0c3d1SPL ID 044344fc-a552-4e9e-8ced-060bfae0c3d1SPL set ID 4813b9dd-5f58-44bb-ad64-cdb331828080RxCUI 197303, 197304UNII O3FX965V0IUPC 0364380834069, 0364380833062
Pharmacologic class
Carbonic Anhydrase 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

N464380083306 followed by a unit qualifier and the quantity

Package 64380-0833-06. 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 adjunctive treatment of: edema due to congestive heart failure; drug-induced edema; centrencephalic epilepsies (petit mal, unlocalized seizures); chronic simple (open-angle) glaucoma, secondary glaucoma, and preoperatively in acute angle-closure glaucoma where delay of surgery is desired in order to lower intraocular pressure. Acetazolamide Tablets are also indicated for the prevention or amelioration of symptoms associated with acute mountain sickness in climbers attempting rapid ascent and in those who are very susceptible to acute mountain sickness despite gradual ascent.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209734

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

FDA NDC Directory listings under ANDA 209734
ProductStrengthForm · routeLabelerProduct NDC
AcetazolamideAcetazolamide 125 mg/1TabletOralProficient Rx LP71205-308
AcetazolamideAcetazolamide 125 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-045
AcetazolamideAcetazolamide 250 mg/1TabletOralAvPAK50268-054
AcetazolamideAcetazolamide 250 mg/1TabletOralStrides Pharma Science Limited64380-834
AcetazolamideAcetazolamide 250 mg/1TabletOralA-S Medication Solutions50090-5593
AcetazolamideAcetazolamide 125 mg/1TabletOralNuCare Pharmaceuticlas, Inc.68071-3728

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