NDC codes

FDA NDC Directory
Product NDC (as listed)82804-047Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82804-0047Add 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
82804-047-06828040047066 TABLET in 1 BOTTLE (82804-047-06)Marketed from Dec 20, 2023
82804-047-108280400471010 TABLET in 1 BOTTLE (82804-047-10)Marketed from Dec 20, 2023
82804-047-128280400471212 TABLET in 1 BOTTLE (82804-047-12)Marketed from Dec 20, 2023
82804-047-188280400471818 TABLET in 1 BOTTLE (82804-047-18)Marketed from Feb 14, 2024
82804-047-208280400472020 TABLET in 1 BOTTLE (82804-047-20)Marketed from Dec 20, 2023
82804-047-248280400472424 TABLET in 1 BOTTLE (82804-047-24)Marketed from Dec 20, 2023
82804-047-308280400473030 TABLET in 1 BOTTLE (82804-047-30)Marketed from Dec 20, 2023
82804-047-608280400476060 TABLET in 1 BOTTLE (82804-047-60)Marketed from Dec 20, 2023
82804-047-908280400479090 TABLET in 1 BOTTLE (82804-047-90)Marketed from Dec 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)
Phenazopyridine Hydrochloride
Generic name (nonproprietary)
phenazopyridine hydrochloride
Active ingredients
Phenazopyridine hydrochloride — 100 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 82804-047_8c3cb5d2-5e01-4f80-a8b8-70802ac0c8d6SPL ID 8c3cb5d2-5e01-4f80-a8b8-70802ac0c8d6SPL set ID 140a40f8-26ec-46ac-a04b-998ea96e8f93RxCUI 1094107UNII 0EWG668W17UPC 0382804047123

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

N482804004706 followed by a unit qualifier and the quantity

Package 82804-0047-06. 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 Phenazopyridine Hydrochloride is indicated for the symptomatic relief of pain, burning, urgency frequency, and other discomforts arising from irritation of the mucosa of the lower urinary tract caused by infection, trauma, surgery, endoscopic procedures, or the passage of sounds or catheters. The use of Phenazopyridine Hydrochloride for relief of symptoms should not delay definitive diagnosis and treatment of causative conditions. The drug should be used for symptomatic relief of pain and not as a substitute for specific surgery or antimicrobial therapy. Phenazopyridine Hydrochloride is compatible with antimicrobial therapy and can help relieve pain and discomfort durin…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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