Unfinished product

This listing is a drug for further processing, not a finished drug product dispensed or administered to patients. It is not normally billed.

NDC codes

FDA NDC Directory
Product NDC (as listed)65862-781Labeler and product segments. Claims need a package NDC.
Product NDC at billing width65862-0781Add 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
65862-781-39658620781393000 TABLET, FILM COATED in 1 BAG (65862-781-39)Marketed from 24-APR-17

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

Generic name (nonproprietary)
olmesartan medoxomil and hydrochlorothiazide
Active ingredients
Olmesartan medoxomil40 mg/1Hydrochlorothiazide25 mg/1
Dosage form
Tablet, Film coated
Product type
Drug for further processing
Marketing category
Drug for further processing
Marketing start
Listing expires
Identifiers
Product ID 65862-781_b7b662be-f0c8-4ada-9862-9e59d3b4aea5SPL ID b7b662be-f0c8-4ada-9862-9e59d3b4aea5

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N465862078139 followed by a unit qualifier and the quantity

Package 65862-0781-39. 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

The FDA listing for this product does not reference a label (SPL) set.

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Olmesartan Medoxomil and Hydrochlorothiazide NDC 65862-781 | Med-Code