NDC codes

FDA NDC Directory
Product NDC (as listed)75834-147Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75834-0147Add 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
75834-147-12758340147122 BLISTER PACK in 1 CARTON (75834-147-12) / 6 SUPPOSITORY in 1 BLISTER PACK (75834-147-06)Marketed from May 15, 2020
75834-147-24758340147244 BLISTER PACK in 1 CARTON (75834-147-24) / 6 SUPPOSITORY in 1 BLISTER PACK (75834-147-06)Marketed from May 15, 2020

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)
Hydrocortisone Acetate
Generic name (nonproprietary)
hydrocortisone acetate
Active ingredients
Hydrocortisone acetate — 25 mg/1
Dosage form
Suppository
Route
Rectal
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Corticosteroid Hormone Receptor Agonists (Mechanism)
Identifiers
Product ID 75834-147_fe395d7c-ccaa-4f49-a902-70a9f6fce571SPL ID fe395d7c-ccaa-4f49-a902-70a9f6fce571SPL set ID 7743779d-1e42-4b23-bde5-0d77fe95bb2bRxCUI 1291082UNII 3X7931PO74UPC 0375834147246
Pharmacologic class
Corticosteroid

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N475834014712 followed by a unit qualifier and the quantity

Package 75834-0147-12. 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)

INDICATIONS AND USAGE Hydrocortisone acetate suppositories are indicated for use in inflamed hemorrhoids, post-irradiation (factitial) proctitis; as an adjunct in the treatment of chronic ulcerative colitis; cryptitis; and other inflammatory conditions of anorectum and pruritus ani.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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