NDC codes

FDA NDC Directory
Product NDC (as listed)21130-465Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0465Add 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
21130-465-34211300465341 BOTTLE in 1 CARTON (21130-465-34) / 240 mL in 1 BOTTLEMarketed from Jul 31, 2024

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)
childrens allergy relief
Generic name (nonproprietary)
cetirizine hydrochloride
Active ingredients
Cetirizine hydrochloride — 5 mg/5mL
Dosage form
Solution
Route
Oral
Labeler
Safeway
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204226
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 21130-465_81d6b4b4-2c46-4727-82fe-f7cedce89cc5SPL ID 81d6b4b4-2c46-4727-82fe-f7cedce89cc5SPL set ID 5d3e4c52-b697-4b91-af28-124f74d937e5RxCUI 1014673UNII 64O047KTOA
Pharmacologic class
Histamine-1 Receptor Antagonist

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

N421130046534 followed by a unit qualifier and the quantity

Package 21130-0465-34. 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

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