Doxycycline Hyclate NDC 72789-309

NDC codes

FDA NDC Directory

Product NDC (as listed)72789-309Labeler and product segments. Claims need a package NDC.

Product NDC at billing width72789-0309Add 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
72789-309-01	72789030901	100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (72789-309-01)Marketed from Mar 15, 2023
72789-309-60	72789030960	60 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (72789-309-60)Marketed from Mar 27, 2023
72789-309-93	72789030993	180 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (72789-309-93)Marketed from Mar 27, 2023

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): Doxycycline Hyclate
Generic name (nonproprietary): doxycycline hyclate
Active ingredients: Doxycycline hyclate — 20 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: PD-Rx Pharmaceuticals, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 065134
Marketing start: May 13, 2005
Listing expires: Dec 31, 2026
Other FDA classes: Tetracyclines (Chemical structure)
Identifiers: Product ID 72789-309_38052f8d-1d68-b250-e063-6394a90a8b48SPL ID 38052f8d-1d68-b250-e063-6394a90a8b48SPL set ID 294c6fc3-e7ca-46ea-b062-a27dd7b0bc97RxCUI 283535UNII 19XTS3T51UUPC 0372789309934
Pharmacologic class: Tetracycline-class Drug

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

N472789030901 followed by a unit qualifier and the quantity

Package 72789-0309-01. 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 Jun 20, 2025.

Indications (excerpt from the label)

INDICATIONS AND USAGE Doxycycline hyclate is indicated for use as an adjunct to scaling and root planing to promote attachment level gain and to reduce pocket depth in patients with adult periodontitis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 065134

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

FDA NDC Directory listings under ANDA 065134
Product	Strength	Form · route	Labeler	Product NDC
Doxycycline Hyclate	Doxycycline hyclate 20 mg/1	Tablet, Film coatedOral	Sun Pharmaceutical Industries, Inc.	53489-647