NDC codes

FDA NDC Directory
Product NDC (as listed)0904-6882Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-6882Add 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
0904-6882-100090468821020 BLISTER PACK in 1 CARTON (0904-6882-10) / 1 TABLET in 1 BLISTER PACKMarketed from May 15, 2018

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)
Phytonadione
Generic name (nonproprietary)
phytonadione
Active ingredients
Phytonadione — 5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Major PharmaceuticalsNDC labeler code 0904
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209373
Marketing start
Listing expires
Other FDA classes
Increased Prothrombin Activity (Physiologic effect)Reversed Anticoagulation Activity (Physiologic effect)Vitamin K (Chemical structure)
Identifiers
Product ID 0904-6882_c18b843e-3f3e-4314-bf6d-b1e5bfaaf84bSPL ID c18b843e-3f3e-4314-bf6d-b1e5bfaaf84bSPL set ID 54f23bc8-d8f3-40e8-a93d-3121cc581d54RxCUI 198102UNII A034SE7857
Pharmacologic class
Vitamin K; Warfarin Reversal Agent

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

N400904688210 followed by a unit qualifier and the quantity

Package 00904-6882-10. 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)

Phytonadione tablets are indicated for the treatment of adults with the following coagulation disorders which are due to faulty formation of factors II, VII, IX and X when caused by vitamin K deficiency or interference with vitamin K activity. • Anticoagulant-induced hypoprothrombinemia caused by coumarin or indanedione derivatives. • Hypoprothrombinemia secondary to antibacterial therapy. • Hypoprothrombinemia secondary to factors limiting absorpsion or synthesis of vitamin K, e.g., obstructive jaundice, biliary fistula, sprue, ulcerative colitis, celiac disease, intestinal resection, cystic fibrosis of the pancrease, and regional enteritis. • Other drug-induced hypoprothrombinemia where it…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0904-6882

What is NDC 0904-6882?
0904-6882 is the product NDC for Phytonadione, Phytonadione 5 mg/1 tablet, listed with the FDA by Major Pharmaceuticals. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Phytonadione.
What is the active ingredient?
Phytonadione.
Who is the labeler?
Major Pharmaceuticals, NDC labeler code 0904. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Phytonadione?
31 other product NDCs are listed under this name. See all Phytonadione 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 Phytonadione NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
PhytonadionePhytonadione 5 mg/1TabletOralSafecor Health, LLC48433-16048433-0160-03
PhytonadionePhytonadione 1 mg/.5mLInjection, EmulsionIntramuscular, Intravenous, SubcutaneousSun Pharmaceutical Industries, Inc.70095-15470095-0154-02
PhytonadionePhytonadione 10 mg/mLInjection, EmulsionIntramuscular, Intravenous, SubcutaneousAmneal Pharmaceuticals Private Limited80830-168380830-1683-03
PhytonadionePhytonadione 1 mg/.5mLInjection, EmulsionIntramuscular, Intravenous, SubcutaneousOrbicular Pharmaceutical Technologies Private Limited81607-02081607-0020-02
PhytonadionePhytonadione 1 mg/.5mLInjection, EmulsionIntramuscular, Intravenous, SubcutaneousBaxter Healthcare Corporation43066-13243066-0132-10
PhytonadionePhytonadione 1 mg/.5mLInjection, EmulsionIntramuscular, Intravenous, SubcutaneousSagent Pharmaceuticals25021-50525021-0505-70
phytonadionePhytonadione 1 mg/.5mLInjection, EmulsionIntramuscular, Intravenous, SubcutaneousAmneal Pharmaceuticals LLC70121-168270121-1682-07
PhytonadionePhytonadione 1 mg/.5mLInjection, EmulsionIntramuscular, Intravenous, SubcutaneousAlembic Pharmaceuticals Limited46708-82646708-0826-0546708-0826-10
PhytonadionePhytonadione 1 mg/.5mLInjection, EmulsionIntramuscular, Intravenous, SubcutaneousAlembic Pharmaceuticals Inc.62332-82662332-0826-0562332-0826-10
PhytonadionePhytonadione 5 mg/1TabletOralCoupler LLC67046-158167046-1581-03

All 32 Phytonadione NDCs

Other NDCs under ANDA 209373

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

FDA NDC Directory listings under ANDA 209373
ProductStrengthForm · routeLabelerProduct NDC
PhytonadionePhytonadione 5 mg/1TabletOralAmerican Health Packaging60687-381
PhytonadionePhytonadione 5 mg/1TabletOralAmneal Pharmaceuticals NY LLC69238-1051

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