NDC codes

FDA NDC Directory
Product NDC (as listed)69238-1522Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69238-1522Add 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
69238-1522-169238152201100 CAPSULE in 1 BOTTLE (69238-1522-1)Marketed from Sep 21, 2018

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)
Tetracycline Hydrochloride
Generic name (nonproprietary)
tetracycline hydrochloride
Active ingredients
Tetracycline hydrochloride250 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210674
Marketing start
Listing expires
Other FDA classes
Tetracyclines (Chemical structure)
Identifiers
Product ID 69238-1522_15697aca-7bc8-4a3a-a935-1b79790a919eSPL ID 15697aca-7bc8-4a3a-a935-1b79790a919eSPL set ID ae29aa18-6efb-47c9-bbd7-cbe8af1b7f38RxCUI 198250, 198252UNII P6R62377KVUPC 0369238152319, 0369238152210
Pharmacologic class
Tetracycline-class Antimicrobial

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

N469238152201 followed by a unit qualifier and the quantity

Package 69238-1522-01. 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 To reduce the development of drug-resistant bacteria and maintain the effectiveness of tetracycline hydrochloride and other antibacterial drugs, tetracycline hydrochloride should be used only to treat infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy. Tetracycline is indicated in the treatment of infections caused by susceptible strains of the designated organisms in the condit

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 210674

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

FDA NDC Directory listings under ANDA 210674
ProductStrengthForm · routeLabelerProduct NDC
Tetracycline HydrochlorideTetracycline hydrochloride 500 mg/1CapsuleOralAmneal Pharmaceuticals NY LLC69238-1523
Tetracycline HydrochlorideTetracycline hydrochloride 250 mg/1CapsuleOralAmneal Pharmaceuticals NY LLC60219-1522
Tetracycline HydrochlorideTetracycline hydrochloride 500 mg/1CapsuleOralAmneal Pharmaceuticals NY LLC60219-1523

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