NDC codes

FDA NDC Directory
Product NDC (as listed)0363-1277Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-1277Add 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
0363-1277-48003631277482 BLISTER PACK in 1 CARTON (0363-1277-48) / 24 TABLET in 1 BLISTER PACKMarketed from Dec 18, 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

Brand name (proprietary)
Walgreens Pain Relief plus UTI Bacteria Control
Generic name (nonproprietary)
methenamine, sodium salicylate
Active ingredients
Methenamine — 162 mg/1Sodium salicylate — 162.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 0363-1277_effeee03-2a64-47ee-acc5-209e92ecc477SPL ID effeee03-2a64-47ee-acc5-209e92ecc477SPL set ID 487bcd22-3831-49f5-b1ad-bdbdad4e48a3RxCUI 1489932UNII J50OIX95QV, WIQ1H85SYP

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

N400363127748 followed by a unit qualifier and the quantity

Package 00363-1277-48. 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)

Uses Temporarily relieves: pain & burning • frequency and urgency of urination

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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