NDC codes

FDA NDC Directory
Product NDC (as listed)76420-204Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76420-0204Add 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
76420-204-0576420020405764200204051 BOTTLE, DROPPER in 1 CARTON (76420-204-05) / 5 mL in 1 BOTTLE, DROPPERMarketed from Nov 30, 2021

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)
Prednisolone Acetate
Generic name (nonproprietary)
prednisolone acetate
Active ingredients
Prednisolone acetate — 10 mg/mL
Dosage form
Suspension/ drops
Route
Ophthalmic
Labeler
Asclemed USA, Inc.NDC labeler code 76420
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 017011
Marketing start
Listing expires
Other FDA classes
Corticosteroid Hormone Receptor Agonists (Mechanism)
Identifiers
Product ID 76420-204_d1fbb852-8bc5-7a0e-e053-2a95a90a2d8eSPL ID d1fbb852-8bc5-7a0e-e053-2a95a90a2d8eSPL set ID 232e40a5-17c5-4cf3-9e3b-110a194ad4beRxCUI 1376336UNII 8B2807733D
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 HCPCS code in Med-Code's directory. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N476420020405 followed by a unit qualifier and the quantity

Package 76420-0204-05. 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 Prednisolone acetate ophthalmic suspension 1% is indicated for the treatment of steroid-responsive inflammation of the palpebral and bulbar conjunctiva, cornea, and anterior segment of the globe.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 76420-204

What is NDC 76420-204?
76420-204 is the product NDC for Prednisolone Acetate, Prednisolone acetate 10 mg/mL suspension/ drops, listed with the FDA by Asclemed USA, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Prednisolone Acetate.
What is the active ingredient?
Prednisolone acetate.
Who is the labeler?
Asclemed USA, Inc., NDC labeler code 76420. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Prednisolone Acetate?
14 other product NDCs are listed under this name. See all Prednisolone Acetate 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 Prednisolone Acetate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
prednisolone acetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicAmneal Pharmaceuticals NY LLC60219-255060219-2550-01
prednisolone acetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicAmneal Pharmaceuticals NY LLC60219-255160219-2551-01
prednisolone acetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicAmneal Pharmaceuticals NY LLC60219-255260219-2552-01
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicA-S Medication Solutions50090-753950090-7539-00
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicRedpharm Drug67296-217667296-2176-05
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicLupin Pharmaceuticals, Inc.70748-33270748-0332-0270748-0332-0370748-0332-04
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicA-S Medication Solutions50090-191250090-1912-00
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicA-S Medication Solutions50090-527550090-5275-00
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicPacific Pharma, Inc.60758-11960758-0119-0560758-0119-1060758-0119-15
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicNuCare Pharmaceuticals,Inc.68071-222268071-2222-05

All 15 Prednisolone Acetate NDCs

Other NDCs under NDA 017011

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

FDA NDC Directory listings under NDA 017011
ProductStrengthForm · routeLabelerProduct NDC
Pred Forteprednisolone acetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicAllergan, Inc.11980-180
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicA-S Medication Solutions50090-1912
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicA-S Medication Solutions50090-5275
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicPacific Pharma, Inc.60758-119
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicNuCare Pharmaceuticals,Inc.68071-2222
Prednisolone AcetatePrednisolone acetate 10 mg/mLSuspension/ dropsOphthalmicSportpharm LLC85766-124

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