Promethazine Hydrochloride NDC 17856-4023

NDC codes

FDA NDC Directory

Product NDC (as listed)17856-4023Labeler and product segments. Claims need a package NDC.

Product NDC at billing width17856-4023Add 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 NDC	11-digit (billing)	Package	Copy
17856-4023-1	17856402301	72 CUP, UNIT-DOSE in 1 CASE (17856-4023-1) / 5 mL in 1 CUP, UNIT-DOSEMarketed from Apr 20, 2026

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): Promethazine Hydrochloride
Generic name (nonproprietary): promethazine hydrochloride
Active ingredients: Promethazine hydrochloride — 6.25 mg/5mL
Dosage form: Syrup
Route: Oral
Labeler: Atlantic Biologicals Corp.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 087953
Marketing start: Apr 7, 2025
Listing expires: Dec 31, 2027
Other FDA classes: Phenothiazines (Chemical structure)
Identifiers: Product ID 17856-4023_4f99bbe0-279d-da57-e063-6294a90ab362SPL ID 4f99bbe0-279d-da57-e063-6294a90ab362SPL set ID 4f99bbd5-02f7-2fed-e063-6394a90a6355RxCUI 992432UNII R61ZEH7I1I
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

N417856402301 followed by a unit qualifier and the quantity

Package 17856-4023-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 087953

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

FDA NDC Directory listings under ANDA 087953
Product	Strength	Form · route	Labeler	Product NDC
Promethazine Hydrochloride	Promethazine hydrochloride 6.25 mg/5mL	SyrupOral	Xttrium Laboratories, Inc.	0116-4023