Phenobarbital NDC 82804-983

NDC codes

FDA NDC Directory

Product NDC (as listed)82804-983Labeler and product segments. Claims need a package NDC.

Product NDC at billing width82804-0983Add 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 NDC	11-digit (billing)	Package
82804-983-00	82804098300	100 TABLET in 1 BOTTLE (82804-983-00)Marketed from Oct 28, 2024
82804-983-11	82804098311	1000 TABLET in 1 BOTTLE (82804-983-11)Marketed from Oct 28, 2024
82804-983-30	82804098330	30 TABLET in 1 BOTTLE (82804-983-30)Marketed from Oct 28, 2024
82804-983-55	82804098355	500 TABLET in 1 BOTTLE (82804-983-55)Marketed from Oct 28, 2024
82804-983-60	82804098360	60 TABLET in 1 BOTTLE (82804-983-60)Marketed from Oct 28, 2024
82804-983-90	82804098390	90 TABLET in 1 BOTTLE (82804-983-90)Marketed from Oct 28, 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

Brand name (proprietary): Phenobarbital
Generic name (nonproprietary): phenobarbital
Active ingredients: Phenobarbital — 32.4 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Proficient Rx LP
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Sep 8, 2023
Listing expires: Dec 31, 2026
DEA schedule: CIV
Identifiers: Product ID 82804-983_6b5ca781-50a9-4e89-8184-831c7c2936b2SPL ID 6b5ca781-50a9-4e89-8184-831c7c2936b2SPL set ID 6b5ca781-50a9-4e89-8184-831c7c2936b2RxCUI 198086, 199164, 199167, 199168UNII YQE403BP4DUPC 0382804984305, 0382804982301, 0382804983308, 0382804985302

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

N482804098300 followed by a unit qualifier and the quantity

Package 82804-0983-00. 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 Oct 1, 2024.

Indications (excerpt from the label)

INDICATIONS AND USAGE A. Sedative B. Anticonvulsant – For the treatment of generalized and partial seizures.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)