NDC codes

FDA NDC Directory
Product NDC (as listed)0904-6966Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-6966Add 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
0904-6966-6100904696661100 BLISTER PACK in 1 CARTON (0904-6966-61) / 1 TABLET in 1 BLISTER PACKMarketed from Oct 30, 2012

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)
Oxycodone Hydrochloride
Generic name (nonproprietary)
oxycodone
Active ingredients
Oxycodone hydrochloride — 5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203638
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Full Opioid Agonists (Mechanism)
Identifiers
Product ID 0904-6966_cf18b924-ef1c-4b84-9c6d-6977ee8b7407SPL ID cf18b924-ef1c-4b84-9c6d-6977ee8b7407SPL set ID 6b6db42b-9821-4aa6-8566-297037d84079RxCUI 1049611, 1049621UNII C1ENJ2TE6C
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

N400904696661 followed by a unit qualifier and the quantity

Package 00904-6966-61. 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 203638

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

FDA NDC Directory listings under ANDA 203638
ProductStrengthForm · routeLabelerProduct NDC
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 5 mg/1TabletOralBryant Ranch Prepack71335-0981
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 20 mg/1TabletOralBryant Ranch Prepack71335-1023
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 15 mg/1TabletOralBryant Ranch Prepack71335-1080
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 5 mg/1TabletOralRedpharm Drug67296-2233
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 5 mg/1TabletOralAmneal Pharmaceuticals LLC65162-047
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 15 mg/1TabletOralMajor Pharmaceuticals0904-7180
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 20 mg/1TabletOralAmneal Pharmaceuticals LLC65162-050
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 30 mg/1TabletOralBryant Ranch Prepack71335-0677
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 10 mg/1TabletOralAmneal Pharmaceuticals LLC65162-048
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 15 mg/1TabletOralAmneal Pharmaceuticals LLC65162-049
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 30 mg/1TabletOralAmneal Pharmaceuticals LLC65162-051
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 5 mg/1TabletOralBryant Ranch Prepack72162-1811
Oxycodone HydrochlorideoxycodoneOxycodone hydrochloride 30 mg/1TabletOralBryant Ranch Prepack72162-1812
Oxycodone HydrochlorideOxycodone hydrochloride 15 mg/1TabletOralPrecision Dose, Inc.68094-005

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