NDC codes

FDA NDC Directory
Product NDC (as listed)31722-551Labeler and product segments. Claims need a package NDC.
Product NDC at billing width31722-0551Add 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
31722-551-0531722055105500 TABLET in 1 BOTTLE (31722-551-05)Marketed from Jun 29, 2012
31722-551-10317220551101000 TABLET in 1 BOTTLE (31722-551-10)Marketed from Jun 29, 2012
31722-551-1831722055118180 TABLET in 1 BOTTLE (31722-551-18)Marketed from Jun 29, 2012
31722-551-303172205513030 TABLET in 1 BOTTLE (31722-551-30)Marketed from Jun 29, 2012
31722-551-903172205519090 TABLET in 1 BOTTLE (31722-551-90)Marketed from Jun 29, 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)
Levocetirizine Dihydrochloride
Generic name (nonproprietary)
levocetirizine dihydrochloride
Active ingredients
Levocetirizine dihydrochloride — 5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091264
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 31722-551_40ccc1d7-149b-e682-e063-6394a90a1d37SPL ID 40ccc1d7-149b-e682-e063-6394a90a1d37SPL set ID dd407f8f-140d-489f-b8c5-f6602d87e247RxCUI 855172UNII SOD6A38AGAUPC 0331722551304
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

N431722055105 followed by a unit qualifier and the quantity

Package 31722-0551-05. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Levocetirizine dihydrochloride is a histamine H 1 -receptor antagonist indicated for: • The treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria ( 1.2 ) 1.2 Chronic Idiopathic Urticaria Levocetirizine dihydrochloride tablets are indicated for the treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria in adults and children 6 years of age and older.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 091264

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

FDA NDC Directory listings under ANDA 091264
ProductStrengthForm · routeLabelerProduct NDC
Levocetirizine DihydrochlorideLevocetirizine dihydrochloride 5 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-023
Levocetirizine DihydrochlorideLevocetirizine dihydrochloride 5 mg/1TabletOralNorthwind Health Company, LLC51655-148
Levocetirizine DihydrochlorideLevocetirizine dihydrochloride 5 mg/1TabletOralA-S Medication Solutions50090-1430
Levocetirizine DihydrochlorideLevocetirizine dihydrochloride 5 mg/1TabletOralBryant Ranch Prepack71335-0789
Levocetirizine DihydrochlorideLevocetirizine dihydrochloride 5 mg/1TabletOralA-S Medication Solutions50090-6979

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