NDC codes

FDA NDC Directory
Product NDC (as listed)66794-258Labeler and product segments. Claims need a package NDC.
Product NDC at billing width66794-0258Add 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
66794-258-4166794025841667940258411 VIAL in 1 CARTON (66794-258-41) / 10 mL in 1 VIALMarketed from Oct 10, 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)
Pantoprazole Sodium I.V.Suffix: I.V.
Generic name (nonproprietary)
pantoprazole sodium
Active ingredients
Pantoprazole sodium — 40 mg/10mL
Dosage form
Injection, Powder, For solution
Route
Intravenous
Labeler
Piramal Critical CareNDC labeler code 66794
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214680
Marketing start
Listing expires
Other FDA classes
Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 66794-258_390349ed-4093-e0b3-e063-6294a90a474eSPL ID 390349ed-4093-e0b3-e063-6294a90a474eSPL set ID 0696b10c-972b-9dcf-e063-6294a90a1034RxCUI 283669UNII 6871619Q5X
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 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.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N466794025841 followed by a unit qualifier and the quantity

Package 66794-0258-41. 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)

Pantoprazole sodium for injection is indicated for treatment of: gastroesophageal reflux disease (GERD) and a history of erosive esophagitis (EE) for up to 10 days in adults. pathological hypersecretion conditions including Zollinger-Ellison (ZE) Syndrome in adults. Limitations of Use The safety and effectiveness of pantoprazole sodium for injection for the treatment of upper gastrointestinal bleeding have not been established in adult or pediatric patients. Pediatric use information is approved for Pfizer Inc.’s PROTONIX ® I.V. (pantoprazole sodium) for Injection. However, due to Pfizer Inc.’s marketing exclusivity rights, this drug product is not labeled with that information. Pantoprazole…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 66794-258

What is NDC 66794-258?
66794-258 is the product NDC for Pantoprazole Sodium I.V. (pantoprazole sodium), Pantoprazole sodium 40 mg/10mL injection, powder, for solution, listed with the FDA by Piramal Critical Care. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pantoprazole Sodium I.V. (Pantoprazole sodium).
What is the active ingredient?
Pantoprazole sodium.
Who is the labeler?
Piramal Critical Care, NDC labeler code 66794. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pantoprazole Sodium I.V.?
1 other product NDC are listed under this name. See all Pantoprazole Sodium I.V. 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 Pantoprazole Sodium I.V. NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Pantoprazole Sodium I.V.pantoprazole sodiumPantoprazole sodium 40 mg/10mLInjection, Powder, For solutionIntravenousSandoz Inc0781-348000781-3480-95

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