NDC codes

FDA NDC Directory
Product NDC (as listed)10094-210Labeler and product segments. Claims need a package NDC.
Product NDC at billing width10094-0210Add 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
10094-210-601009402106060 POUCH in 1 PACKAGE (10094-210-60) / 1 FILM in 1 POUCH (10094-210-01)Marketed from Nov 1, 2018

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Sympazan
Generic name (nonproprietary)
clobazam
Active ingredients
Clobazam — 10 mg/1
Dosage form
Film
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 210833
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Benzodiazepines (Chemical structure)Cytochrome P450 2D6 Inhibitors (Mechanism)Cytochrome P450 3A4 Inducers (Mechanism)
Identifiers
Product ID 10094-210_4a004ed9-140a-4054-843c-4e31d42667ecSPL ID 4a004ed9-140a-4054-843c-4e31d42667ecSPL set ID 5e3d8fcb-aa7d-4822-88fc-4f06264c3242RxCUI 2058253, 2058254, 2058255, 2102713, 2102715, 2102717UNII 2MRO291B4U
Pharmacologic class
Benzodiazepine

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

N410094021060 followed by a unit qualifier and the quantity

Package 10094-0210-60. 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)

SYMPAZAN ® is indicated for the adjunctive treatment of seizures associated with Lennox-Gastaut Syndrome (LGS) in patients 2 years of age or older. SYMPAZAN ® is a benzodiazepine indicated for adjunctive treatment of seizures associated with Lennox-Gastaut Syndrome (LGS) in patients 2 years of age or older ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 210833

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

FDA NDC Directory listings under NDA 210833
ProductStrengthForm · routeLabelerProduct NDC
SympazanclobazamClobazam 5 mg/1FilmOralAquestive Therapeutics10094-205
SympazanclobazamClobazam 20 mg/1FilmOralAquestive Therapeutics10094-220

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