NDC codes

FDA NDC Directory
Product NDC (as listed)21922-039Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21922-0039Add 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
21922-039-23219220039231 TUBE, WITH APPLICATOR in 1 CARTON (21922-039-23) / 70 g in 1 TUBE, WITH APPLICATORMarketed from Jun 17, 2023

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)
Metronidazole Vaginal Gel, 0.75%
Generic name (nonproprietary)
metronidazole
Active ingredients
Metronidazole — 7.5 mg/g
Dosage form
Gel
Route
Vaginal
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 215610
Marketing start
Listing expires
Other FDA classes
Nitroimidazoles (Chemical structure)
Identifiers
Product ID 21922-039_15d347d5-e345-4750-9f5e-6c2b4f9c583aSPL ID 15d347d5-e345-4750-9f5e-6c2b4f9c583aSPL set ID 63ed1e7e-d264-4e35-af83-ec37fa5b06d1RxCUI 142046UNII 140QMO216EUPC 0321922039238
Pharmacologic class
Nitroimidazole Antimicrobial

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N421922003923 followed by a unit qualifier and the quantity

Package 21922-0039-23. 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.

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