NDC codes

FDA NDC Directory
Product NDC (as listed)68391-103Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68391-0103Add 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
68391-103-55683910103553 CARTON in 1 CARTON (68391-103-55) / 14 BLISTER PACK in 1 CARTON / 1 TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE in 1 BLISTER PACKMarketed from Mar 9, 2020

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)
berkley and jensen omeprazole
Generic name (nonproprietary)
omeprazole
Active ingredients
Omeprazole20 mg/1
Dosage form
Tablet, Orally disintegrating, Delayed release
Route
Oral
Labeler
BJWC
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 209400
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C19 Inhibitors (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 68391-103_64916be2-9c0a-4eeb-8d44-7e16b1faa8e9SPL ID 64916be2-9c0a-4eeb-8d44-7e16b1faa8e9
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 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

N468391010355 followed by a unit qualifier and the quantity

Package 68391-0103-55. 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.

Other NDCs under NDA 209400

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

FDA NDC Directory listings under NDA 209400
ProductStrengthForm · routeLabelerProduct NDC
OmeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralCVS Pharmacy69842-791
OmeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-666
omeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralH E B37808-354
Basic Care OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-123
topcare omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralTopco Associates LLC36800-601
careone omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmerican Sales Company41520-939
OmeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralMeijer Distribution Inc41250-349
Signature Care OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralSafeway21130-128
DG health omperazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralDolgencorp Inc55910-713
omeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralKroger Company30142-394
equaline omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralUnited Natural Foods, Inc. dba UNFI41163-634
omeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralWalgreen Company0363-1819
good neighbor pharmacy omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmerisource Bergen46122-616
good sense omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralL. Perrigo Company0113-0520
omeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralHyVee Inc42507-164
Leader OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralCardinal Health 110, LLC. dba Leader70000-0381
up and up omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralTarget Corporation11673-212

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