NDC codes

FDA NDC Directory
Product NDC (as listed)0121-1036Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00121-1036Add 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
0121-1036-4000121103640001211036404 TRAY in 1 CASE (0121-1036-40) / 10 CUP, UNIT-DOSE in 1 TRAY / 5 mL in 1 CUP, UNIT-DOSE (0121-1036-05)Marketed from Aug 5, 2024

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

Generic name (nonproprietary)
hydrocodone bitartrate and homatropine methylbromide
Active ingredients
Hydrocodone bitartrate — 5 mg/5mLHomatropine methylbromide — 1.5 mg/5mL
Dosage form
Solution
Route
Oral
Labeler
PAI Holdings, LLC dba PAI PharmaNDC labeler code 0121
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 005213
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Opioid Agonists (Mechanism)
Identifiers
Product ID 0121-1036_17bce1b5-fe40-42c4-b167-51f48ea47c9eSPL ID 17bce1b5-fe40-42c4-b167-51f48ea47c9eSPL set ID 71319a6f-aaf4-4bc5-8b40-a16c6f139be6RxCUI 992668UNII NO70W886KK, 68JRS2HC1C
Pharmacologic class
Opioid Agonist

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

N400121103640 followed by a unit qualifier and the quantity

Package 00121-1036-40. 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)

Hydrocodone bitartrate and homatropine methylbromide is indicated for the symptomatic relief of cough in adult patients 18 years of age and older. Limitations of Use : Not indicated for pediatric patients under 18 years of age [see Use in Specific Populations ( 8.4 )] . Contraindicated in pediatric patients less than 6 years of age [see Contraindications ( 4 )] . Because of the risks of addiction, abuse, misuse, overdose, and death, which can occur at any dosage or duration, and persist over the course of therapy [see Warnings and Precautions ( 5.1 )], reserve hydrocodone bitartrate and homatropine methylbromide for use in adult patients for whom alternative treatment options are ineffective…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0121-1036

What is NDC 0121-1036?
0121-1036 is the product NDC for Hydrocodone Bitartrate and Homatropine Methylbromide, Hydrocodone bitartrate 5 mg/5mL; Homatropine methylbromide 1.5 mg/5mL solution, listed with the FDA by PAI Holdings, LLC dba PAI Pharma. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Hydrocodone Bitartrate and Homatropine Methylbromide.
What is the active ingredient?
Hydrocodone bitartrate, Homatropine methylbromide.
Who is the labeler?
PAI Holdings, LLC dba PAI Pharma, NDC labeler code 0121. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Hydrocodone Bitartrate and Homatropine Methylbromide?
7 other product NDCs are listed under this name. See all Hydrocodone Bitartrate and Homatropine Methylbromide 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 Hydrocodone Bitartrate and Homatropine Methylbromide NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Hydrocodone Bitartrate and Homatropine MethylbromideHydrocodone bitartrate 5 mg/1; Homatropine methylbromide 1.5 mg/1TabletOralGenus Lifesciences Inc.64950-20664950-0206-0364950-0206-10
Hydrocodone Bitartrate and Homatropine MethylbromideHydrocodone bitartrate 5 mg/5mL; Homatropine methylbromide 1.5 mg/5mLSolutionOralGenus Lifesciences Inc.64950-37164950-0371-47
Hydrocodone Bitartrate and Homatropine MethylbromideHydrocodone bitartrate 5 mg/1; Homatropine methylbromide 1.5 mg/1TabletOralKVK-Tech, Inc.10702-05510702-0055-0110702-0055-0310702-0055-09+1 more
Hydrocodone Bitartrate and Homatropine Methylbromidehydrocodone bitartrate and homatropine methylbromide oral solutionHydrocodone bitartrate 5 mg/5mL; Homatropine methylbromide 1.5 mg/5mLLiquidOralKVK-Tech, Inc.10702-15010702-0150-16
Hydrocodone Bitartrate and Homatropine MethylbromideHydrocodone bitartrate 5 mg/5mL; Homatropine methylbromide 1.5 mg/5mLSyrupOralNovel Laboratories, Inc.40032-81040032-0810-05
Hydrocodone Bitartrate and Homatropine MethylbromideHydrocodone bitartrate 5 mg/1; Homatropine methylbromide 1.5 mg/1TabletOralNovel Laboratories, Inc.40032-11840032-0118-0340032-0118-2440032-0118-26
Hydrocodone Bitartrate and Homatropine MethylbromideHydrocodone bitartrate 5 mg/1; Homatropine methylbromide 1.5 mg/1TabletOralLupin Pharmaceuticals,Inc.43386-11843386-0118-0143386-0118-03

Other NDCs under NDA 005213

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

FDA NDC Directory listings under NDA 005213
ProductStrengthForm · routeLabelerProduct NDC
Hydrocodone Bitartrate and Homatropine MethylbromideHydrocodone bitartrate 5 mg/1; Homatropine methylbromide 1.5 mg/1TabletOralGenus Lifesciences Inc.64950-206
Hydrocodone Bitartrate and Homatropine MethylbromideHydrocodone bitartrate 5 mg/5mL; Homatropine methylbromide 1.5 mg/5mLSolutionOralGenus Lifesciences Inc.64950-371

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