NDC codes

FDA NDC Directory
Product NDC (as listed)69842-679Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0679Add 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
69842-679-14698420679141 BOTTLE, PLASTIC in 1 CARTON (69842-679-14) / 14 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTICMarketed from Dec 31, 2021
69842-679-42698420679423 BOTTLE, PLASTIC in 1 CARTON (69842-679-42) / 14 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTICMarketed from Dec 31, 2021

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)
Acid Reducer
Generic name (nonproprietary)
esomeprazole magnesium
Active ingredients
Esomeprazole magnesium20 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 212088
Marketing start
Marketing end
Other FDA classes
Cytochrome P450 2C19 Inhibitors (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 69842-679_5f0bc616-6126-4f48-b56c-e8874aed6e90SPL ID 5f0bc616-6126-4f48-b56c-e8874aed6e90SPL set ID 001817ea-906e-47f7-8605-41ba5a9abd21RxCUI 433733UNII R6DXU4WAY9
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

N469842067914 followed by a unit qualifier and the quantity

Package 69842-0679-14. 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)

Uses treats frequent heartburn (occurs 2 or more days a week) not intended for immediate relief of heartburn; this drug may take 1 to 4 days for full effect

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 212088

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

FDA NDC Directory listings under ANDA 212088
ProductStrengthForm · routeLabelerProduct NDC
Acid Reduceresomeprazole magnesiumEsomeprazole magnesium 20 mg/1TabletOralWalgreens0363-9977

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