Phenobarbital NDC 71205-890

NDC codes

FDA NDC Directory

Product NDC (as listed)71205-890Labeler and product segments. Claims need a package NDC.

Product NDC at billing width71205-0890Add 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
71205-890-00	71205089000	100 TABLET in 1 BOTTLE (71205-890-00)Marketed from Aug 3, 2021
71205-890-11	71205089011	1000 TABLET in 1 BOTTLE (71205-890-11)Marketed from Aug 3, 2021
71205-890-30	71205089030	30 TABLET in 1 BOTTLE (71205-890-30)Marketed from Aug 3, 2021
71205-890-55	71205089055	500 TABLET in 1 BOTTLE (71205-890-55)Marketed from Aug 3, 2021
71205-890-60	71205089060	60 TABLET in 1 BOTTLE (71205-890-60)Marketed from Aug 3, 2021
71205-890-90	71205089090	90 TABLET in 1 BOTTLE (71205-890-90)Marketed from Aug 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): Phenobarbital
Generic name (nonproprietary): phenobarbital
Active ingredients: Phenobarbital — 30 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Proficient Rx LP
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Nov 1, 2020
Listing expires: Dec 31, 2026
DEA schedule: CIV
Identifiers: Product ID 71205-890_886f2c7d-6a6e-4d73-bbbd-61cff9514a87SPL ID 886f2c7d-6a6e-4d73-bbbd-61cff9514a87SPL set ID 8fd2647b-6c3a-4b4c-a93b-304be364baf3RxCUI 312362UNII YQE403BP4DUPC 0371205890308

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

N471205089000 followed by a unit qualifier and the quantity

Package 71205-0890-00. 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 Aug 1, 2022.

Indications (excerpt from the label)

INDICATIONS AND USAGE Phenobarbital Tablets, USP are indicated for use as a sedative or anticonvulsant.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)