NDC codes

FDA NDC Directory
Product NDC (as listed)0904-7157Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-7157Add 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
0904-7157-6100904715761100 BLISTER PACK in 1 CARTON (0904-7157-61) / 1 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Aug 25, 1988

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)
Fluphenazine Hydrochloride
Generic name (nonproprietary)
fluphenazine hydrochloride
Active ingredients
Fluphenazine hydrochloride — 1 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 089743
Marketing start
Listing expires
Other FDA classes
Phenothiazines (Chemical structure)
Identifiers
Product ID 0904-7157_491d902d-1778-4bd3-a836-d1faf6ea9930SPL ID 491d902d-1778-4bd3-a836-d1faf6ea9930SPL set ID e8d4065a-45fc-4adf-9406-2122ca131d99RxCUI 859841, 860918, 865117, 865123UNII ZOU145W1XL
Pharmacologic class
Phenothiazine

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

N400904715761 followed by a unit qualifier and the quantity

Package 00904-7157-61. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Fluphenazine hydrochloride tablets are indicated in the management of manifestations of psychotic disorders. Fluphenazine hydrochloride has not been shown effective in the management of behavioral complications in patients with mental retardation.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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