NDC codes

FDA NDC Directory
Product NDC (as listed)82804-999Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82804-0999Add 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
82804-999-0082804099900100 TABLET in 1 BOTTLE (82804-999-00)Marketed from Mar 25, 2024
82804-999-11828040999111000 TABLET in 1 BOTTLE (82804-999-11)Marketed from Mar 25, 2024
82804-999-308280409993030 TABLET in 1 BOTTLE (82804-999-30)Marketed from Mar 25, 2024
82804-999-5582804099955500 TABLET in 1 BOTTLE (82804-999-55)Marketed from Mar 25, 2024
82804-999-608280409996060 TABLET in 1 BOTTLE (82804-999-60)Marketed from Mar 25, 2024
82804-999-6482804099964240 TABLET in 1 BOTTLE (82804-999-64)Marketed from Mar 25, 2024
82804-999-7282804099972120 TABLET in 1 BOTTLE (82804-999-72)Marketed from Mar 25, 2024
82804-999-7882804099978180 TABLET in 1 BOTTLE (82804-999-78)Marketed from Mar 25, 2024
82804-999-908280409999090 TABLET in 1 BOTTLE (82804-999-90)Marketed from Mar 25, 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 — 100 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
DEA schedule
CIV
Identifiers
Product ID 82804-999_7d6516be-285b-41be-a1f3-8c9ad8857316SPL ID 7d6516be-285b-41be-a1f3-8c9ad8857316SPL set ID 7d6516be-285b-41be-a1f3-8c9ad8857316RxCUI 198083, 198089, 312357, 312362UNII YQE403BP4DUPC 0382804998302, 0382804996308, 0382804997305, 0382804999309

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

N482804099900 followed by a unit qualifier and the quantity

Package 82804-0999-00. 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 .

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)

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Phenobarbital NDC 82804-999 | Med-Code