NDC codes

FDA NDC Directory
Product NDC (as listed)27808-033Labeler and product segments. Claims need a package NDC.
Product NDC at billing width27808-0033Add 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
27808-033-0127808003301473 mL in 1 BOTTLE (27808-033-01)Marketed from Aug 2, 2012

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)
Theophylline
Generic name (nonproprietary)
theophylline
Active ingredients
Theophylline anhydrous — 80 mg/15mL
Dosage form
Solution
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091586
Marketing start
Listing expires
Other FDA classes
Xanthines (Chemical structure)
Identifiers
Product ID 27808-033_723b1708-84c4-4a42-99bb-475c77bed2efSPL ID 723b1708-84c4-4a42-99bb-475c77bed2efSPL set ID 78a99bfe-6ebe-4ace-80b0-ee019921435eRxCUI 313306UNII 0I55128JYKUPC 0327808033017
Pharmacologic class
Methylxanthine

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

N427808003301 followed by a unit qualifier and the quantity

Package 27808-0033-01. 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

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