NDC codes

FDA NDC Directory
Product NDC (as listed)11822-3111Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-3111Add 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
11822-3111-2118223111021 BLISTER PACK in 1 CARTON (11822-3111-2) / 12 TABLET in 1 BLISTER PACKMarketed from Nov 25, 2019
11822-3111-4118223111041 BLISTER PACK in 1 CARTON (11822-3111-4) / 24 TABLET in 1 BLISTER PACKMarketed from Nov 25, 2019

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Rite Aid Maximum Strength Urinary Pain Relief
Generic name (nonproprietary)
phenazopyridine hydrochloride
Active ingredients
Phenazopyridine hydrochloride — 99.5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Rite Aid
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 11822-3111_4814a53e-8c9f-4d17-8be4-922decfcaaf0SPL ID 4814a53e-8c9f-4d17-8be4-922decfcaaf0SPL set ID b0634f37-53c4-47c4-a68e-710c944f213bRxCUI 1094147UNII 0EWG668W17UPC 0011822589284

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

N411822311102 followed by a unit qualifier and the quantity

Package 11822-3111-02. 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)

Use Fast relief from urinary pain, burning, urgency and frequency associated with urinary tract infections.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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