NDC codes

FDA NDC Directory
Product NDC (as listed)21130-732Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0732Add 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
21130-732-10211300732102 BLISTER PACK in 1 CARTON (21130-732-10) / 5 TABLET, COATED in 1 BLISTER PACKMarketed from Jun 30, 2018
21130-732-35211300732351 BOTTLE in 1 CARTON (21130-732-35) / 35 TABLET, COATED in 1 BOTTLEMarketed from Jun 30, 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)
Allergy Relief
Generic name (nonproprietary)
levocetirizine dihydrochloride
Active ingredients
Levocetirizine dihydrochloride — 5 mg/1
Dosage form
Tablet, Coated
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210375
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 21130-732_f2d46324-71b9-4ac8-839d-bb2fa3c04a48SPL ID f2d46324-71b9-4ac8-839d-bb2fa3c04a48SPL set ID e1a6932b-d076-6573-5b88-7b06c3a91681RxCUI 855172UNII SOD6A38AGA
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

N421130073210 followed by a unit qualifier and the quantity

Package 21130-0732-10. 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 210375

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

FDA NDC Directory listings under ANDA 210375
ProductStrengthForm · routeLabelerProduct NDC
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralKROGER COMPANY30142-717
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralCVS PHARMACY69842-761
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralTarget Corporation11673-847
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralWalgreens Company0363-5529
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralRite Aid Corporation11822-5252
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralChain Drug Marketing Association INC63868-473
Allergy Relieflevocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralAMERISOURCEBERGEN DRUG CORPORATION46122-531
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralHEB37808-126
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralDr. Reddy's Laboratories Inc.43598-735
24HR Allergy Relieflevocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralLEADER/ Cardinal Health 110, Inc.70000-0362
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralSAM'S WEST INC68196-406
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralDr. Reddy's Laboratories Inc.43598-810
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralUnited Natural Foods, Inc. dba UNFI41163-938
levocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralBJWC (Berkley & Jensen / BJ'S)68391-955
Levocetirizine DihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, CoatedOralWalmart Inc.49035-492

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