What is NDC 71205-558?

71205-558 is the product NDC for hydroxyzine pamoate, Hydroxyzine pamoate 25 mg/1 capsule, listed with the FDA by Proficient Rx LP. It has 3 package NDCs, shown above in 10- and 11-digit form.

Proficient Rx LP, NDC labeler code 71205. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for hydroxyzine pamoate?

81 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

hydroxyzine pamoate NDC 71205-558 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)71205-558Labeler and product segments. Claims need a package NDC.

Product NDC at billing width71205-0558Add 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 NDC	11-digit (billing)	Package
71205-558-30	7120505583071205055830	30 CAPSULE in 1 BOTTLE (71205-558-30)Marketed from May 3, 2021
71205-558-60	7120505586071205055860	60 CAPSULE in 1 BOTTLE (71205-558-60)Marketed from May 3, 2021
71205-558-90	7120505589071205055890	90 CAPSULE in 1 BOTTLE (71205-558-90)Marketed from May 3, 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): hydroxyzine pamoate
Generic name (nonproprietary): hydroxyzine pamoate
Active ingredients: Hydroxyzine pamoate — 25 mg/1
Dosage form: Capsule
Route: Oral
Labeler: Proficient Rx LPNDC labeler code 71205
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 087479
Marketing start: Dec 14, 1981
Listing expires: Dec 31, 2027
Other FDA classes: Histamine Receptor Antagonists (Mechanism)
Identifiers: Product ID 71205-558_bff75226-d194-4d64-bcbb-d7d79f5d230eSPL ID bff75226-d194-4d64-bcbb-d7d79f5d230eSPL set ID bff75226-d194-4d64-bcbb-d7d79f5d230eRxCUI 995253UNII M20215MUFR
Pharmacologic class: Antihistamine

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

N471205055830 followed by a unit qualifier and the quantity

Package 71205-0558-30. 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 May 1, 2021.

Indications (excerpt from the label)

INDICATIONS For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested. Useful in the management of pruritus due to allergic conditions such as chronic urticaria and atopic and contact dermatoses, and in histamine-mediated pruritus. As a sedative when used as premedication and following general anesthesia, hydroxyzine may potentiate meperidine (Demerol ® ) and barbiturates, so their use in pre-anesthetic adjunctive therapy should be modified on an individual basis. Atropine and other belladonna alkaloids are not affected by the drug. Hydroxyzine is not known to interfere with the action of digitalis …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71205-558

What is NDC 71205-558?: 71205-558 is the product NDC for hydroxyzine pamoate, Hydroxyzine pamoate 25 mg/1 capsule, listed with the FDA by Proficient Rx LP. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: hydroxyzine pamoate.
What is the active ingredient?: Hydroxyzine pamoate.
Who is the labeler?: Proficient Rx LP, NDC labeler code 71205. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for hydroxyzine pamoate?: 81 other product NDCs are listed under this name. See all hydroxyzine pamoate 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 hydroxyzine pamoate NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Unit Dose Solutions, Inc.	87441-087	87441-0087-01
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Unit Dose Solutions, Inc.	87441-040	87441-0040-01
Hydroxyzine pamoate	Hydroxyzine pamoate 50 mg/1	CapsuleOral	Unit Dose Solutions, Inc.	87441-041	87441-0041-01
Hydroxyzine pamoate	Hydroxyzine pamoate 50 mg/1	CapsuleOral	Unit Dose Solutions, Inc.	87441-042	87441-0042-01
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Coupler LLC	67046-0281	67046-0281-03
Hydroxyzine pamoate	Hydroxyzine pamoate 50 mg/1	CapsuleOral	Coupler LLC	67046-0831	67046-0831-03
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Coupler LLC	67046-2086	67046-2086-03
hydroxyzine pamoate	Hydroxyzine pamoate 50 mg/1	CapsuleOral	REMEDYREPACK INC.	70518-4463	70518-4463-0070518-4463-01
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Bryant Ranch Prepack	72162-1054	72162-1054-03
hydroxyzine pamoate	Hydroxyzine pamoate 50 mg/1	CapsuleOral	Preferred Pharmaceuticals Inc.	68788-8789	68788-8789-03

All 82 hydroxyzine pamoate NDCs

Other NDCs under ANDA 087479

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

FDA NDC Directory listings under ANDA 087479
Product	Strength	Form · route	Labeler	Product NDC
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Sandoz Inc	0185-0674
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	PD-Rx Pharmaceuticals, Inc.	43063-172
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	PD-Rx Pharmaceuticals, Inc.	43063-406
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Northwind Health Company, LLC	51655-847
Hydroxyzine Pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Direct_Rx	61919-880
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Bryant Ranch Prepack	63629-8874
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Bryant Ranch Prepack	63629-9612
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Coupler LLC	67046-0281
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	NuCare Pharmaceuticals,Inc.	68071-2255
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	NuCare Pharmaceutcals, Inc.	68071-3736
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Preferred Pharmaceuticals Inc.	68788-8119
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	REMEDYREPACK INC.	70518-0209
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	REMEDYREPACK INC.	70518-1504
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Bryant Ranch Prepack	71335-1714
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Bryant Ranch Prepack	71335-2751
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Bryant Ranch Prepack	71335-3003
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Aphena Pharma Solutions - Tennessee, LLC	71610-747
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Bryant Ranch Prepack	72162-1054
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Pharmasource Meds, LLC	82982-032
hydroxyzine pamoate	Hydroxyzine pamoate 25 mg/1	CapsuleOral	Unit Dose Solutions, Inc.	87441-040

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