NDC codes

FDA NDC Directory
Product NDC (as listed)41167-5804Labeler and product segments. Claims need a package NDC.
Product NDC at billing width41167-5804Add 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
41167-5804-5411675804051 BOTTLE in 1 CARTON (41167-5804-5) / 148 mL in 1 BOTTLEMarketed from Jul 24, 2017

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Xyzal
Generic name (nonproprietary)
levocetirizine dihydrochloride
Active ingredients
Levocetirizine dihydrochloride — .5 mg/mL
Dosage form
Solution
Route
Oral
Labeler
Chattem, Inc.NDC labeler code 41167
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022064
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 41167-5804_87a83f00-5abf-437d-af13-394c22964050SPL ID 87a83f00-5abf-437d-af13-394c22964050SPL set ID 1673f7ff-0c7c-4403-86cf-c05eb1475222RxCUI 855168, 855170, 855172, 855174UNII 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

N441167580405 followed by a unit qualifier and the quantity

Package 41167-5804-05. 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)

XYZAL is a histamine H 1 -receptor antagonist indicated for: The relief of symptoms associated with perennial allergic rhinitis ( 1.1 ) The treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria ( 1.2 ) 1.1 Perennial Allergic Rhinitis XYZAL is indicated for the relief of symptoms associated with perennial allergic rhinitis in children 6 months to 2 years of age. 1.2 Chronic Idiopathic Urticaria XYZAL is indicated for the treatment of the uncomplicated skin manifestations of chronic idiopathic urticaria in adults and children 6 months of age and older.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 41167-5804

What is NDC 41167-5804?
41167-5804 is the product NDC for Xyzal (levocetirizine dihydrochloride), Levocetirizine dihydrochloride .5 mg/mL solution, listed with the FDA by Chattem, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Xyzal (Levocetirizine dihydrochloride).
What is the active ingredient?
Levocetirizine dihydrochloride.
Who is the labeler?
Chattem, Inc., NDC labeler code 41167. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Xyzal?
1 other product NDC are listed under this name. See all Xyzal NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Xyzal NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Xyzallevocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, Film coatedOralChattem, Inc.41167-580341167-5803-09

Other NDCs under NDA 022064

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

FDA NDC Directory listings under NDA 022064
ProductStrengthForm · routeLabelerProduct NDC
Xyzallevocetirizine dihydrochlorideLevocetirizine dihydrochloride 5 mg/1Tablet, Film coatedOralChattem, Inc.41167-5803

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