NDC codes

FDA NDC Directory
Product NDC (as listed)82804-115Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82804-0115Add 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
82804-115-10828040115108280401151010 CAPSULE in 1 BOTTLE (82804-115-10)Marketed from Jul 8, 2024
82804-115-14828040115148280401151414 CAPSULE in 1 BOTTLE (82804-115-14)Marketed from Jul 16, 2024
82804-115-20828040115208280401152020 CAPSULE in 1 BOTTLE (82804-115-20)Marketed from Jul 24, 2024

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

Generic name (nonproprietary)
nitrofurantoin (monohydrate/macrocrystals)
Active ingredients
Nitrofurantoin monohydrate — 75 mg/1Nitrofurantoin — 25 mg/1
Dosage form
Capsule
Route
Oral
Labeler
Proficient Rx LPNDC labeler code 82804
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 217357
Marketing start
Listing expires
Other FDA classes
Nitrofurans (Chemical structure)Nitrofurans (Chemical structure)
Identifiers
Product ID 82804-115_ad3c1b1b-ca8b-4976-aba5-aed2f338dd92SPL ID ad3c1b1b-ca8b-4976-aba5-aed2f338dd92SPL set ID f49f586a-79f0-4731-97f9-9aeb0839ece5RxCUI 1648755UNII E1QI2CQQ1I, 927AH8112LUPC 0382804115143
Pharmacologic class
Nitrofuran Antibacterial

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

N482804011510 followed by a unit qualifier and the quantity

Package 82804-0115-10. 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 Nitrofurantoin capsules (monohydrate/macrocrystals) are indicated only for the treatment of acute uncomplicated urinary tract infections (acute cystitis) caused by susceptible strains of Escherichia coli or Staphylococcus saprophyticus . Nitrofurantoin is not indicated for the treatment of pyelonephritis or perinephric abscesses. To reduce the development of drug-resistant bacteria and maintain the effectiveness of nitrofurantoin capsules (monohydrate/macrocrystals) and other antibacterial drugs, nitrofurantoin capsules (monohydrate/macrocrystals) should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteri…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 82804-115

What is NDC 82804-115?
82804-115 is the product NDC for Nitrofurantoin (monohydrate/macrocrystals), Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1 capsule, listed with the FDA by Proficient Rx LP. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nitrofurantoin (monohydrate/macrocrystals).
What is the active ingredient?
Nitrofurantoin monohydrate, Nitrofurantoin.
Who is the labeler?
Proficient Rx LP, NDC labeler code 82804. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Nitrofurantoin (monohydrate/macrocrystals)?
32 other product NDCs are listed under this name. See all Nitrofurantoin (monohydrate/macrocrystals) 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 Nitrofurantoin (monohydrate/macrocrystals) NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralCoupler LLC67046-119867046-1198-03
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralCoupler LLC67046-127167046-1271-03
Nitrofurantoin (Monohydrate/Macrocrystals)Nitrofurantoin 25 mg/1; Nitrofurantoin monohydrate 75 mg/1CapsuleOralCreekwood Pharmaceuticals LLC82619-14782619-0147-0182619-0147-0282619-0147-03
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralMajor Pharmaceuticals0904-757100904-7571-61
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralREMEDYREPACK INC.70518-435870518-4358-00
NITROFURANTOIN (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralNorthwind Health Company, LLC82868-06582868-0065-1082868-0065-1482868-0065-20
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralREMEDYREPACK INC.70518-402670518-4026-0070518-4026-0170518-4026-02+1 more
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralPreferred Pharmaceuticals Inc.68788-857168788-8571-0068788-8571-01
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralNorthStar RxLLC72603-19672603-0196-01
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralBluePoint Laboratories68001-60668001-0606-00

All 33 Nitrofurantoin (monohydrate/macrocrystals) NDCs

Other NDCs under ANDA 217357

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

FDA NDC Directory listings under ANDA 217357
ProductStrengthForm · routeLabelerProduct NDC
Nitrofurantoinnitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralNuCare Pharmaceuticals,Inc.68071-3569
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralMajor Pharmaceuticals0904-7571
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralCoupler LLC67046-1198
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralCoupler LLC67046-1271
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralRedpharm Drug67296-2105
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralBluePoint Laboratories68001-606
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralNuCare Pharmaceuticals,Inc.68071-3593
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralPreferred Pharmaceuticals Inc.68788-8571
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralREMEDYREPACK INC.70518-4026
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralREMEDYREPACK INC.70518-4358
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralLifestar Pharma LLC70756-404
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralBryant Ranch Prepack71335-2377
Nitrofurantoin (monohydrate/macrocrystals)Nitrofurantoin monohydrate 75 mg/1; Nitrofurantoin 25 mg/1CapsuleOralNorthStar RxLLC72603-196

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