NDC codes

FDA NDC Directory
Product NDC (as listed)72789-254Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72789-0254Add 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
72789-254-217278902542121 CAPSULE in 1 BOTTLE, PLASTIC (72789-254-21)Marketed from Aug 23, 2023
72789-254-607278902546060 CAPSULE in 1 BOTTLE, PLASTIC (72789-254-60)Marketed from Jan 22, 2024

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)
Amoxicillin
Generic name (nonproprietary)
amoxicillin
Active ingredients
Amoxicillin — 500 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 065291
Marketing start
Listing expires
Other FDA classes
Penicillins (Chemical structure)
Identifiers
Product ID 72789-254_419df97c-2449-98f1-e063-6294a90a43daSPL ID 419df97c-2449-98f1-e063-6294a90a43daSPL set ID 039d2677-b04f-436c-e063-6294a90ac519RxCUI 308191UNII 804826J2HUUPC 0372789254302

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

N472789025421 followed by a unit qualifier and the quantity

Package 72789-0254-21. 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)

To reduce the development of drug-resistant bacteria and maintain the effectiveness of amoxicillin and other antibacterial drugs, amoxicillin should be used only to treat infections that are proven or strongly suspected to be caused by 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. Amoxicillin Capsules are indicated in the treatment of infections due to susceptible (ONLY β-lactamase–negative) isolates of the designated bacteria in the conditions listed below: Amoxicillin…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 065291

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

FDA NDC Directory listings under ANDA 065291
ProductStrengthForm · routeLabelerProduct NDC
AmoxicillinAmoxicillin 500 mg/1CapsuleOralREMEDYREPACK INC.70518-4279
AmoxicillinAmoxicillin 500 mg/1CapsuleOralHikma Pharmaceuticals USA Inc.0143-9939
AmoxicillinAmoxicillin 500 mg/1CapsuleOralPD-Rx Pharmaceuticals, Inc.72789-225
AmoxicillinAmoxicillin 500 mg/1CapsuleOralA-S Medication Solutions50090-0303
AmoxicillinAmoxicillin 500 mg/1CapsuleOralA-S Medication Solutions50090-0301
AmoxicillinAmoxicillin 500 mg/1CapsuleOralA-S Medication Solutions50090-0302
AmoxicillinAmoxicillin 500 mg/1CapsuleOralA-S Medication Solutions50090-0304

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