Vancomycin Hydrochloride NDC 0121-1032

NDC codes

FDA NDC Directory

Product NDC (as listed)0121-1032Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00121-1032Add 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	Copy
0121-1032-20	00121103220	2 BLISTER PACK in 1 CARTON (0121-1032-20) / 10 CAPSULE in 1 BLISTER PACKMarketed from May 1, 2026
0121-1032-50	00121103250	50 CAPSULE in 1 BOTTLE (0121-1032-50)Marketed from May 1, 2026

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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): Vancomycin Hydrochloride
Generic name (nonproprietary): vancomycin hydrochloride
Active ingredients: Vancomycin hydrochloride — 125 mg/1
Dosage form: Capsule
Route: Oral
Labeler: PAI Holdings, LLC dba PAI Pharma
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 065478
Marketing start: May 1, 2026
Listing expires: Dec 31, 2027
Other FDA classes: Glycopeptides (Chemical structure)
Identifiers: Product ID 0121-1032_1db451d1-f9ef-4e0a-8239-1c740369b64eSPL ID 1db451d1-f9ef-4e0a-8239-1c740369b64eSPL set ID ae6efaaf-37eb-4510-ba71-5f3dc3abdbd3RxCUI 313570, 313571UNII 71WO621TJDUPC 0301211032508
Pharmacologic class: Glycopeptide 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

N400121103220 followed by a unit qualifier and the quantity

Package 00121-1032-20. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 065478

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

FDA NDC Directory listings under ANDA 065478
Product	Strength	Form · route	Labeler	Product NDC
Vancomycin Hydrochloride	Vancomycin hydrochloride 250 mg/1	CapsuleOral	PAI Holdings, LLC dba PAI Pharma	0121-1033