NDC codes

FDA NDC Directory
Product NDC (as listed)72789-256Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72789-0256Add 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
72789-256-0672789025606727890256066 TABLET in 1 BOTTLE, PLASTIC (72789-256-06)Marketed from Jul 1, 2022

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)
Clorazepate Dipotassium
Generic name (nonproprietary)
clorazepate dipotassium
Active ingredients
Clorazepate dipotassium — 15 mg/1
Dosage form
Tablet
Route
Oral
Labeler
PD-Rx Pharmaceuticals, Inc.NDC labeler code 72789
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075731
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Benzodiazepines (Chemical structure)
Identifiers
Product ID 72789-256_5b75e3f8-3582-2951-e063-6394a90acef9SPL ID 5b75e3f8-3582-2951-e063-6394a90acef9
Pharmacologic class
Benzodiazepine

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

N472789025606 followed by a unit qualifier and the quantity

Package 72789-0256-06. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 72789-256

What is NDC 72789-256?
72789-256 is the product NDC for Clorazepate Dipotassium, Clorazepate dipotassium 15 mg/1 tablet, listed with the FDA by PD-Rx Pharmaceuticals, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Clorazepate Dipotassium.
What is the active ingredient?
Clorazepate dipotassium.
Who is the labeler?
PD-Rx Pharmaceuticals, Inc., NDC labeler code 72789. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Clorazepate Dipotassium?
24 other product NDCs are listed under this name. See all Clorazepate Dipotassium 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 Clorazepate Dipotassium NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Clorazepate DipotassiumClorazepate dipotassium 7.5 mg/1TabletOralCoupler LLC67046-160167046-1601-03
Clorazepate DipotassiumClorazepate dipotassium 15 mg/1TabletOralCoupler LLC67046-146267046-1462-03
Clorazepate DipotassiumClorazepate dipotassium 15 mg/1TabletOralCoupler LLC67046-150167046-1501-03
Clorazepate DipotassiumClorazepate dipotassium 3.75 mg/1TabletOralAurolife Pharma LLC13107-28213107-0282-0113107-0282-05
Clorazepate DipotassiumClorazepate dipotassium 7.5 mg/1TabletOralAurolife Pharma LLC13107-28313107-0283-0113107-0283-05
Clorazepate DipotassiumClorazepate dipotassium 15 mg/1TabletOralAurolife Pharma LLC13107-28413107-0284-01
Clorazepate DipotassiumClorazepate dipotassium 15 mg/1TabletOralANI Pharmaceuticals, Inc.70954-15770954-0157-1070954-0157-2070954-0157-40
Clorazepate DipotassiumClorazepate dipotassium 3.75 mg/1TabletOralNORTHSTAR RX LLC72603-11272603-0112-0172603-0112-02
Clorazepate DipotassiumClorazepate dipotassium 7.5 mg/1TabletOralNORTHSTAR RX LLC72603-11372603-0113-0172603-0113-02
Clorazepate DipotassiumClorazepate dipotassium 15 mg/1TabletOralNORTHSTAR RX LLC72603-11472603-0114-01

All 25 Clorazepate Dipotassium NDCs

Other NDCs under ANDA 075731

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

FDA NDC Directory listings under ANDA 075731
ProductStrengthForm · routeLabelerProduct NDC
Clorazepate DipotassiumClorazepate dipotassium 3.75 mg/1TabletOralSun Pharmaceutical Industries, Inc.51672-4042
Clorazepate DipotassiumClorazepate dipotassium 7.5 mg/1TabletOralSun Pharmaceutical Industries, Inc.51672-4043
Clorazepate DipotassiumClorazepate dipotassium 15 mg/1TabletOralSun Pharmaceutical Industries, Inc.51672-4044
Clorazepate DipotassiumClorazepate dipotassium 3.75 mg/1TabletOralClinical Solutions Wholesale, LLC58118-4042
Clorazepate DipotassiumClorazepate dipotassium 7.5 mg/1TabletOralClinical Solutions Wholesale, LLC58118-4043
Clorazepate DipotassiumClorazepate dipotassium 15 mg/1TabletOralClinical Solutions Wholesale, LLC58118-4044
Clorazepate DipotassiumClorazepate dipotassium 15 mg/1TabletOralCoupler LLC67046-1501
Clorazepate DipotassiumClorazepate dipotassium 7.5 mg/1TabletOralCoupler LLC67046-1601
Clorazepate DipotassiumClorazepate dipotassium 3.75 mg/1TabletOralNORTHSTAR RX LLC72603-112
Clorazepate DipotassiumClorazepate dipotassium 7.5 mg/1TabletOralNORTHSTAR RX LLC72603-113
Clorazepate DipotassiumClorazepate dipotassium 15 mg/1TabletOralNORTHSTAR RX LLC72603-114

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