NDC codes

FDA NDC Directory
Product NDC (as listed)72789-496Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72789-0496Add 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
72789-496-02727890496022 CAPSULE in 1 BOTTLE, PLASTIC (72789-496-02)Marketed from Mar 6, 2025
72789-496-107278904961010 CAPSULE in 1 BOTTLE, PLASTIC (72789-496-10)Marketed from Feb 24, 2025
72789-496-207278904962020 CAPSULE in 1 BOTTLE, PLASTIC (72789-496-20)Marketed from Mar 18, 2025
72789-496-607278904966060 CAPSULE in 1 BOTTLE, PLASTIC (72789-496-60)Marketed from Dec 15, 2025

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
Generic name (nonproprietary)
doxycycline
Active ingredients
Doxycycline — 100 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 205115
Marketing start
Listing expires
Other FDA classes
Tetracyclines (Chemical structure)
Identifiers
Product ID 72789-496_4e044247-785c-7df0-e063-6394a90acab2SPL ID 4e044247-785c-7df0-e063-6394a90acab2SPL set ID 7028b7f9-21cd-4c8e-97aa-a3e7d849939bRxCUI 1649990UNII N12000U13O
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

N472789049602 followed by a unit qualifier and the quantity

Package 72789-0496-02. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 205115

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

FDA NDC Directory listings under ANDA 205115
ProductStrengthForm · routeLabelerProduct NDC
doxycyclineDoxycycline 50 mg/1CapsuleOralAvPAK50268-280
doxycyclineDoxycycline 100 mg/1CapsuleOralAvPAK50268-281
doxycyclineDoxycycline 100 mg/1CapsuleOralCoupler LLC67046-1260
doxycyclineDoxycycline 100 mg/1CapsuleOralPD-Rx Pharmaceuticals, Inc.72789-491
doxycyclineDoxycycline 50 mg/1CapsuleOralSafecor Health, LLC48433-158
doxycyclineDoxycycline 100 mg/1CapsuleOralSafecor Health, LLC48433-159
doxycyclineDoxycycline 100 mg/1CapsuleOralProficient Rx LP63187-712
doxycyclineDoxycycline 100 mg/1CapsuleOralZydus Lifesciences Limited65841-823
doxycyclineDoxycycline 50 mg/1CapsuleOralZydus Lifesciences Limited65841-821
doxycyclineDoxycycline 75 mg/1CapsuleOralZydus Lifesciences Limited65841-822
doxycyclineDoxycycline 50 mg/1CapsuleOralBryant Ranch Prepack71335-1479
doxycyclineDoxycycline 75 mg/1CapsuleOralZydus Pharmaceuticals USA Inc.68382-706
doxycyclineDoxycycline 100 mg/1CapsuleOralZydus Pharmaceuticals USA Inc.68382-707
doxycyclineDoxycycline 100 mg/1CapsuleOralA-S Medication Solutions50090-4833
doxycyclineDoxycycline 50 mg/1CapsuleOralZydus Pharmaceuticals USA Inc.68382-782
Doxycycline MonohydrateDoxycycline 100 mg/1CapsuleOralDIRECT RX61919-624

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