NDC codes

FDA NDC Directory
Product NDC (as listed)0121-1884Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00121-1884Add 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
0121-1884-50001211884505 TRAY in 1 CASE (0121-1884-50) / 10 CUP, UNIT-DOSE in 1 TRAY / 7.5 mL in 1 CUP, UNIT-DOSE (0121-1884-07)Marketed from Aug 20, 2021

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)
Phenobarbital Oral Solution
Generic name (nonproprietary)
phenobarbital oral
Active ingredients
Phenobarbital — 30 mg/7.5mL
Dosage form
Solution
Route
Oral
Labeler
PAI Holdings, LLC dba PAI PharmaNDC labeler code 0121
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
DEA schedule
CIV
Identifiers
Product ID 0121-1884_8ca47fca-d85e-4029-a4d3-bc341be13890SPL ID 8ca47fca-d85e-4029-a4d3-bc341be13890SPL set ID 30c20889-2b12-4d73-b4ce-0e1b49b3e3c3RxCUI 702519UNII YQE403BP4D

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

N400121188450 followed by a unit qualifier and the quantity

Package 00121-1884-50. 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 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)

About NDC 0121-1884

What is NDC 0121-1884?
0121-1884 is the product NDC for Phenobarbital Oral Solution (phenobarbital oral), Phenobarbital 30 mg/7.5mL 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?
Phenobarbital Oral Solution (Phenobarbital Oral).
What is the active ingredient?
Phenobarbital.
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 Phenobarbital Oral Solution?
6 other product NDCs are listed under this name. See all Phenobarbital Oral Solution 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 Phenobarbital Oral Solution NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Phenobarbital Oral Solutionphenobarbital oralPhenobarbital 20 mg/5mLSolutionOralKesin Pharma Corporation81033-16481033-0164-47
Phenobarbital Oral Solutionphenobarbital oralPhenobarbital 20 mg/5mLSolutionOralAjenat Pharmaceuticals LLC82983-41782983-0417-47
Phenobarbital Oral Solutionphenobarbital oralPhenobarbital 20 mg/5mLSolutionOralBPI Labs LLC54288-16354288-0163-47
Phenobarbital Oral Solutionphenobarbital oralPhenobarbital 20 mg/5mLSolutionOralKesin Pharma Corporation81033-16381033-0163-54
Phenobarbital Oral Solutionphenobarbital oralPhenobarbital 20 mg/5mLSolutionOralPAI Holdings, LLC dba PAI Pharma0121-094200121-0942-1600121-0942-50
Phenobarbital Oral Solutionphenobarbital oralPhenobarbital 60 mg/15mLSolutionOralPAI Holdings, LLC dba PAI Pharma0121-282600121-2826-50

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