Nitroglycerin NDC 21922-054

NDC codes

FDA NDC Directory

Product NDC (as listed)21922-054Labeler and product segments. Claims need a package NDC.

Product NDC at billing width21922-0054Add 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
21922-054-05	21922005405	1 TUBE in 1 CARTON (21922-054-05) / 30 g in 1 TUBEMarketed from Apr 16, 2025
21922-054-47	21922005447	48 POUCH in 1 CARTON (21922-054-47) / 1 g in 1 POUCH (21922-054-59)Marketed from Apr 16, 2025

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): Nitroglycerin
Generic name (nonproprietary): nitroglycerin
Active ingredients: Nitroglycerin — 20 mg/g
Dosage form: Ointment
Route: Topical
Labeler: Encube Ethicals, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 218235
Marketing start: Apr 16, 2025
Listing expires: Dec 31, 2027
Other FDA classes: Nitrates (Chemical structure)Vasodilation (Physiologic effect)
Identifiers: Product ID 21922-054_a46f7681-b936-40d3-8c36-e9bb5d655d73SPL ID a46f7681-b936-40d3-8c36-e9bb5d655d73SPL set ID c17c997b-0e90-4105-888b-2de22d2bf697RxCUI 242946UNII G59M7S0WS3UPC 0321922054057, 0321922054477
Pharmacologic class: Nitrate Vasodilator

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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N421922005405 followed by a unit qualifier and the quantity

Package 21922-0054-05. 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.