NDC codes

FDA NDC Directory
Product NDC (as listed)80425-0111Labeler and product segments. Claims need a package NDC.
Product NDC at billing width80425-0111Add 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
80425-0111-1804250111018042501110130 CAPSULE, DELAYED RELEASE in 1 BOTTLE (80425-0111-1)Marketed from Apr 21, 2016
80425-0111-2804250111028042501110260 CAPSULE, DELAYED RELEASE in 1 BOTTLE (80425-0111-2)Marketed from Apr 21, 2016

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Esomeprazole Magnesium DRSuffix: DR
Generic name (nonproprietary)
esomeprazole magnesium
Active ingredients
Esomeprazole magnesium dihydrate — 20 mg/1
Dosage form
Capsule, Delayed release
Route
Oral
Labeler
Advanced Rx Pharmacy of Tennessee, LLCNDC labeler code 80425
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 205606
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C19 Inhibitors (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 80425-0111_2a99b1dd-becb-79f9-e063-6394a90a35f3SPL ID 2a99b1dd-becb-79f9-e063-6394a90a35f3SPL set ID b4cd8ed1-d9d1-5b57-e053-2995a90a9f3cRxCUI 606726UNII 36H71644EQ
Pharmacologic class
Proton Pump Inhibitor

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

N480425011101 followed by a unit qualifier and the quantity

Package 80425-0111-01. 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 .

Indications (excerpt from the label)

1. Indications and Usage Section 1 INDICATIONS AND USAGE 1.1 Treatment of Gastroesophageal Reflux Disease (GERD) Healing of Erosive Esophagitis Esomeprazole magnesium delayed-release capsules are indicated for the short-term treatment (4 to 8 weeks) in the healing and symptomatic resolution of diagnostically confirmed erosive esophagitis. For those patients who have not healed after 4 to 8 weeks of treatment, an additional 4 to 8 week course of esomeprazole magnesium delayed-release capsules may be considered. Maintenance of Healing of Erosive Esophagitis Esomeprazole magnesium delayed-release capsules are indicated to maintain symptom resolution and healing of erosive esophagitis. Controlle…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 80425-0111

What is NDC 80425-0111?
80425-0111 is the product NDC for Esomeprazole Magnesium DR (esomeprazole magnesium), Esomeprazole magnesium dihydrate 20 mg/1 capsule, delayed release, listed with the FDA by Advanced Rx Pharmacy of Tennessee, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Esomeprazole Magnesium DR (Esomeprazole Magnesium).
What is the active ingredient?
Esomeprazole magnesium dihydrate.
Who is the labeler?
Advanced Rx Pharmacy of Tennessee, LLC, NDC labeler code 80425. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Esomeprazole Magnesium DR?
1 other product NDC are listed under this name. See all Esomeprazole Magnesium DR 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 Esomeprazole Magnesium DR NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Esomeprazole Magnesium DResomeprazole magnesiumEsomeprazole magnesium 40 mg/1Capsule, Delayed releaseOralAdvanced Rx Pharmacy of Tennessee, LLC80425-033180425-0331-0180425-0331-0280425-0331-03

Other NDCs under ANDA 205606

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

FDA NDC Directory listings under ANDA 205606
ProductStrengthForm · routeLabelerProduct NDC
Esomeprazole MagnesiumEsomeprazole magnesium trihydrate 40 mg/1Capsule, Delayed releaseOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8628
Esomeprazole MagnesiumEsomeprazole magnesium 20 mg/1Capsule, Delayed releaseOralA-S Medication Solutions50090-7990
Esomeprazole MagnesiumEsomeprazole magnesium 40 mg/1Capsule, Delayed releaseOralA-S Medication Solutions50090-7991
Esomeprazole MagnesiumEsomeprazole magnesium dihydrate 40 mg/1Capsule, Delayed releaseOralAurobindo Pharma Limited65862-784
Esomeprazole MagnesiumEsomeprazole magnesium dihydrate 20 mg/1Capsule, Delayed releaseOralBryant Ranch Prepack71335-0807
Esomeprazole MagnesiumEsomeprazole magnesium dihydrate 20 mg/1Capsule, Delayed releaseOralPD-Rx Pharmaceuticals, Inc.72789-352

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