NDC codes

FDA NDC Directory
Product NDC (as listed)90096-124Labeler and product segments. Claims need a package NDC.
Product NDC at billing width90096-0124Add 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
90096-124-0190096012401100 TABLET, FILM COATED in 1 BOTTLE (90096-124-01)Marketed from Jan 1, 2022

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)
Fluphenazine Hydrochloride
Generic name (nonproprietary)
fluphenazine hydrochloride
Active ingredients
Fluphenazine hydrochloride — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 215141
Marketing start
Listing expires
Other FDA classes
Phenothiazines (Chemical structure)
Identifiers
Product ID 90096-124_bba99290-dad3-4e82-960e-bf274eb5e4b8SPL ID bba99290-dad3-4e82-960e-bf274eb5e4b8SPL set ID d9db3882-a7b5-435b-9d5a-a5e4ef7c2537RxCUI 859841, 860918, 865117, 865123UNII ZOU145W1XLUPC 0390096123012
Pharmacologic class
Phenothiazine

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

N490096012401 followed by a unit qualifier and the quantity

Package 90096-0124-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Fluphenazine hydrochloride tablets are indicated in the management of manifestations of psychotic disorders. Fluphenazine hydrochloride has not been shown effective in the management of behavioral complications in patients with mental retardation.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 215141

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

FDA NDC Directory listings under ANDA 215141
ProductStrengthForm · routeLabelerProduct NDC
Fluphenazine HydrochlorideFluphenazine hydrochloride 2.5 mg/1Tablet, Film coatedOralZameer Pharmaceuticals LLC90096-122
Fluphenazine HydrochlorideFluphenazine hydrochloride 1 mg/1Tablet, Film coatedOralZameer Pharmaceuticals LLC90096-121
Fluphenazine HydrochlorideFluphenazine hydrochloride 5 mg/1Tablet, Film coatedOralZameer Pharmaceuticals LLC90096-123
fluphenazine hydrochlorideFluphenazine hydrochloride 1 mg/1Tablet, Film coatedOralChartwell RX, LLC62135-415
fluphenazine hydrochlorideFluphenazine hydrochloride 10 mg/1Tablet, Film coatedOralChartwell RX, LLC62135-419
fluphenazine hydrochlorideFluphenazine hydrochloride 2.5 mg/1Tablet, Film coatedOralChartwell RX, LLC62135-416
fluphenazine hydrochlorideFluphenazine hydrochloride 5 mg/1Tablet, Film coatedOralChartwell RX, LLC62135-418

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