NDC codes

FDA NDC Directory
Product NDC (as listed)12539-144Labeler and product segments. Claims need a package NDC.
Product NDC at billing width12539-0144Add 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
12539-144-0112539014401100 TABLET in 1 BOTTLE (12539-144-01)Marketed from Oct 7, 2022

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)
Uretron D/S
Generic name (nonproprietary)
methenamine, sodium phosphate monobasic, phenyl salicylate, methylene blue, and hyoscyamine sulfate
Active ingredients
Sodium phosphate, Monobasic, Monohydrate — 40.8 mg/1Phenyl salicylate — 36.2 mg/1Hyoscyamine sulfate — .12 mg/1Methylene blue — 10.8 mg/1Methenamine — 81.6 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Oxidation-Reduction Activity (Mechanism)
Identifiers
Product ID 12539-144_463c4009-d0c3-e6a2-e063-6394a90ac76aSPL ID 463c4009-d0c3-e6a2-e063-6394a90ac76aSPL set ID ea74f1aa-2b4d-4ccf-e053-2995a90abab5RxCUI 1047786, 1087457UNII 593YOG76RN, 28A37T47QO, F2R8V82B84, T42P99266K, J50OIX95QV
Pharmacologic class
Osmotic Laxative; Oxidation-Reduction 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

N412539014401 followed by a unit qualifier and the quantity

Package 12539-0144-01. 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)

INDICATIONS AND USAGE Uretron D/S tablets are indicated for the treatment of symptoms of irritative voiding. Indicated for the relief of local symptoms, such as inflammation, hypermotility, and pain, which accompany lower urinary tract infections. Indicated for the relief of urinary tract symptoms caused by diagnostic procedures.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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