NDC codes

FDA NDC Directory
Product NDC (as listed)82804-030Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82804-0030Add 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
82804-030-308280400303030 TABLET in 1 BOTTLE (82804-030-30)Marketed from Oct 20, 2023
82804-030-608280400306060 TABLET in 1 BOTTLE (82804-030-60)Marketed from Oct 20, 2023
82804-030-908280400309090 TABLET in 1 BOTTLE (82804-030-90)Marketed from Oct 20, 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)
Fluconazole
Generic name (nonproprietary)
fluconazole
Active ingredients
Fluconazole — 200 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077731
Marketing start
Listing expires
Other FDA classes
Azoles (Chemical structure)Cytochrome P450 2C19 Inhibitors (Mechanism)Cytochrome P450 2C9 Inhibitors (Mechanism)Cytochrome P450 3A4 Inhibitors (Mechanism)
Identifiers
Product ID 82804-030_fc4fccd8-19d2-4704-afa9-9ce0ab1d2b5fSPL ID fc4fccd8-19d2-4704-afa9-9ce0ab1d2b5fSPL set ID fc4fccd8-19d2-4704-afa9-9ce0ab1d2b5fRxCUI 197700UNII 8VZV102JFYUPC 0382804030309
Pharmacologic class
Azole Antifungal

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

N482804003030 followed by a unit qualifier and the quantity

Package 82804-0030-30. 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 077731

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

FDA NDC Directory listings under ANDA 077731
ProductStrengthForm · routeLabelerProduct NDC
FluconazoleFluconazole 200 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8526
FluconazoleFluconazole 150 mg/1TabletOralNorthStar Rx LLC16714-692
FluconazoleFluconazole 100 mg/1TabletOralNorthStar Rx LLC16714-691
FluconazoleFluconazole 200 mg/1TabletOralNorthStar Rx LLC16714-693
FluconazoleFluconazole 50 mg/1TabletOralNorthStar Rx LLC16714-694
FluconazoleFluconazole 100 mg/1TabletOralREMEDYREPACK INC.70518-4242
FluconazoleFluconazole 50 mg/1TabletOralREMEDYREPACK INC.70518-4723
FluconazoleFluconazole 200 mg/1TabletOralProficient Rx LP82804-146
FluconazoleFluconazole 200 mg/1TabletOralA-S Medication Solutions50090-6751
FluconazoleFluconazole 150 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-7293
FluconazoleFluconazole 150 mg/1TabletOralPharmasource Meds, LLC82982-070
FluconazoleFluconazole 100 mg/1TabletOralRising Pharma Holdings, Inc.57237-004
FluconazoleFluconazole 50 mg/1TabletOralRising Pharma Holdings, Inc.57237-003
FluconazoleFluconazole 150 mg/1TabletOralRising Pharma Holdings, Inc.57237-005
FluconazoleFluconazole 200 mg/1TabletOralRising Pharma Holdings, Inc.57237-006
FluconazoleFluconazole 100 mg/1TabletOralAmerican Health Packaging68084-728
FluconazoleFluconazole 200 mg/1TabletOralAmerican Health Packaging68084-735
FluconazoleFluconazole 150 mg/1TabletOralA-S Medication Solutions50090-6842
FluconazoleFluconazole 150 mg/1TabletOralA-S Medication Solutions50090-2195
FluconazoleFluconazole 200 mg/1TabletOralDirect_Rx72189-516

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