NDC codes

FDA NDC Directory
Product NDC (as listed)42858-103Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42858-0103Add 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
42858-103-0142858010301100 TABLET in 1 BOTTLE, PLASTIC (42858-103-01)Marketed from Aug 28, 2014
42858-103-104285801031010 BLISTER PACK in 1 CARTON (42858-103-10) / 10 TABLET in 1 BLISTER PACKMarketed from Aug 28, 2014
42858-103-5042858010350500 TABLET in 1 BOTTLE, PLASTIC (42858-103-50)Marketed from Aug 28, 2014

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)
Oxycodone and Acetaminophen
Generic name (nonproprietary)
oxycodone and acetaminophen
Active ingredients
Oxycodone hydrochloride — 7.5 mg/1Acetaminophen — 325 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 201278
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Full Opioid Agonists (Mechanism)
Identifiers
Product ID 42858-103_5a4985b5-92c6-42a6-9279-25601ef4d009SPL ID 5a4985b5-92c6-42a6-9279-25601ef4d009SPL set ID 5999f3c3-3225-4d24-82cd-0b8d7a309587RxCUI 1049214, 1049221, 1049225UNII 362O9ITL9D, C1ENJ2TE6CUPC 0342858102018, 0342858103015, 0342858104012
Pharmacologic class
Opioid Agonist

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

N442858010301 followed by a unit qualifier and the quantity

Package 42858-0103-01. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Oxycodone and Acetaminophen Tablets, USP are indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Limitations of Use Because of the risks of addiction, abuse, misuse, overdose, and death, which can occur at any dosage or duration and persist over the course of therapy, [see WARNINGS ], reserve opioid analgesics, including oxycodone and acetaminophen tablets, for use in patients for whom alternative treatment options are ineffective, not tolerated, or would be otherwise inadequate to provide sufficient management of pain.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 201278

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

FDA NDC Directory listings under ANDA 201278
ProductStrengthForm · routeLabelerProduct NDC
Percocetoxycodone/apapAcetaminophen 325 mg/1; Oxycodone hydrochloride 10 mg/1TabletOralDirect_Rx72189-397
Oxycodone and AcetaminophenOxycodone hydrochloride 10 mg/1; Acetaminophen 325 mg/1TabletOralBryant Ranch Prepack71335-1420
Oxycodone and AcetaminophenOxycodone hydrochloride 10 mg/1; Acetaminophen 325 mg/1TabletOralBryant Ranch Prepack63629-8876
Oxycodone and AcetaminophenOxycodone hydrochloride 7.5 mg/1; Acetaminophen 325 mg/1TabletOralBryant Ranch Prepack71335-1472
Oxycodone and AcetaminophenOxycodone hydrochloride 5 mg/1; Acetaminophen 325 mg/1TabletOralBryant Ranch Prepack71335-1492
Oxycodone and AcetaminophenOxycodone hydrochloride 7.5 mg/1; Acetaminophen 325 mg/1TabletOralBryant Ranch Prepack71335-1909
Oxycodone and AcetaminophenOxycodone hydrochloride 5 mg/1; Acetaminophen 325 mg/1TabletOralProficient Rx LP63187-824
Oxycodone and AcetaminophenOxycodone hydrochloride 7.5 mg/1; Acetaminophen 325 mg/1TabletOralSt. Mary's Medical Park Pharmacy60760-898
Oxycodone and AcetaminophenOxycodone hydrochloride 10 mg/1; Acetaminophen 325 mg/1TabletOralRhodes Pharmaceuticals LLC42858-104
Oxycodone and AcetaminophenOxycodone hydrochloride 5 mg/1; Acetaminophen 325 mg/1TabletOralRhodes Pharmaceuticals LLC42858-102
Oxycodone and AcetaminophenOxycodone hydrochloride 10 mg/1; Acetaminophen 325 mg/1TabletOralBryant Ranch Prepack63629-9501
Oxycodone and AcetaminophenOxycodone hydrochloride 5 mg/1; Acetaminophen 325 mg/1TabletOralAsclemed USA, Inc.76420-136
Oxycodone and AcetaminophenOxycodone hydrochloride 5 mg/1; Acetaminophen 325 mg/1TabletOralRedPharm Drug67296-1937
Oxycodone/APAPOxycodone hydrochloride 7.5 mg/1; Acetaminophen 325 mg/1TabletOralDirect_Rx72189-375
Oxycodone and AcetaminophenOxycodone hydrochloride 10 mg/1; Acetaminophen 325 mg/1TabletOralAsclemed USA, Inc.76420-209
Oxycodone and AcetaminophenOxycodone hydrochloride 7.5 mg/1; Acetaminophen 325 mg/1TabletOralBryant Ranch Prepack72162-1338
Oxycodone and AcetaminophenOxycodone hydrochloride 10 mg/1; Acetaminophen 325 mg/1TabletOralBryant Ranch Prepack72162-1339

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