NDC codes

FDA NDC Directory
Product NDC (as listed)42291-925Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42291-0925Add 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
42291-925-904229109259090 TABLET, FILM COATED in 1 BOTTLE (42291-925-90)Marketed from Jul 27, 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)
olmesartan medoxomil-hydrochlorothiazide
Generic name (nonproprietary)
olmesartan medoxomil-hydrochlorothiazide
Active ingredients
Olmesartan medoxomil — 40 mg/1Hydrochlorothiazide — 12.5 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
AvKARE
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021532
Marketing start
Listing expires
Other FDA classes
Angiotensin 2 Receptor Antagonists (Mechanism)Increased Diuresis (Physiologic effect)Thiazides (Chemical structure)
Identifiers
Product ID 42291-925_48bfa982-5678-139d-e063-6294a90adbfaSPL ID 48bfa982-5678-139d-e063-6294a90adbfaSPL set ID 017bc6a3-5b3d-2381-e063-6394a90abeceRxCUI 403853, 403854, 403855UNII 0J48LPH2TH, 6M97XTV3HDUPC 0342291925908, 0342291924901
Pharmacologic class
Angiotensin 2 Receptor Blocker; Thiazide Diuretic

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

N442291092590 followed by a unit qualifier and the quantity

Package 42291-0925-90. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Olmesartan medoxomil and hydrochlorothiazide is indicated for the treatment of hypertension, to lower blood pressure. Olmesartan medoxomil and hydrochlorothiazide is not indicated for the initial therapy of hypertension [see Dosage and Administration (2) ] . Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes including the class to which this drug principally belongs. There are no controlled trials demonstrating risk reduction with olmesartan medoxomil and hydrochlorothiazide. Control of high …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021532

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

FDA NDC Directory listings under NDA 021532
ProductStrengthForm · routeLabelerProduct NDC
olmesartan medoxomil-hydrochlorothiazideOlmesartan medoxomil 20 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralAvKARE42291-924
olmesartan medoxomil-hydrochlorothiazideOlmesartan medoxomil 40 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralAvKARE42291-926
olmesartan medoxomil-hydrochlorothiazideOlmesartan medoxomil 20 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralAvKARE73190-078
olmesartan medoxomil-hydrochlorothiazideOlmesartan medoxomil 40 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralAvKARE73190-079
olmesartan medoxomil-hydrochlorothiazideOlmesartan medoxomil 40 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralAvKARE73190-080
Benicar HCTolmesartan medoxomil-hydrochlorothiazideOlmesartan medoxomil 20 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralCosette Pharmaceuticals, Inc.0713-0943
Benicar HCTolmesartan medoxomil-hydrochlorothiazideOlmesartan medoxomil 40 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralCosette Pharmaceuticals, Inc.0713-0944
Benicar HCTolmesartan medoxomil-hydrochlorothiazideOlmesartan medoxomil 20 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralCosette Pharmaceuticals, Inc.0713-0863
Benicar HCTolmesartan medoxomil-hydrochlorothiazideOlmesartan medoxomil 40 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralCosette Pharmaceuticals, Inc.0713-0945
Benicar HCTolmesartan medoxomil-hydrochlorothiazideOlmesartan medoxomil 40 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralCosette Pharmaceuticals, Inc.0713-0864
Benicar HCTolmesartan medoxomil-hydrochlorothiazideOlmesartan medoxomil 40 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralCosette Pharmaceuticals, Inc.0713-0865

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olmesartan medoxomil-hydrochlorothiazide NDC 42291-925 | Med-Code