NDC codes

FDA NDC Directory
Product NDC (as listed)42858-301Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42858-0301Add 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
42858-301-0142858030101100 TABLET in 1 BOTTLE, PLASTIC (42858-301-01)Marketed from Nov 23, 2009
42858-301-25428580301254 BLISTER PACK in 1 CARTON (42858-301-25) / 25 TABLET in 1 BLISTER PACKMarketed from Nov 23, 2009

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)
Hydromorphone Hydrochloride
Generic name (nonproprietary)
hydromorphone hydrochloride
Active ingredients
Hydromorphone hydrochloride — 2 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 019892
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Full Opioid Agonists (Mechanism)
Identifiers
Product ID 42858-301_b786b01b-46f9-4a00-a667-699e813a741bSPL ID b786b01b-46f9-4a00-a667-699e813a741bSPL set ID 37565441-0d95-4743-a695-d7b3326f58a1RxCUI 897657, 897696, 897702, 897710UNII L960UP2KRWUPC 0342858303019
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

N442858030101 followed by a unit qualifier and the quantity

Package 42858-0301-01. 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)

Hydromorphone hydrochloride oral solution and hydromorphone hydrochloride tablets are indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Hydromorphone hydrochloride oral solution and hydromorphone hydrochloride tablets contain hydromorphone, an opioid agonist, and are indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. ( 1 ) 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, reserve opioid analgesics, includi…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 019892

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

FDA NDC Directory listings under NDA 019892
ProductStrengthForm · routeLabelerProduct NDC
Hydromorphone HydrochlorideHydromorphone hydrochloride 2 mg/1TabletOralBryant Ranch Prepack63629-4284
Hydromorphone HydrochlorideHydromorphone hydrochloride 4 mg/1TabletOralASCLEMED USA INC.87063-038
Hydromorphone HydrochlorideHydromorphone hydrochloride 2 mg/1TabletOralASCLEMED USA INC.87063-037
Hydromorphone HydrochlorideHydromorphone hydrochloride 8 mg/1TabletOralASCLEMED USA INC.87063-039
Dilaudidhydromorphone hydrochlorideHydromorphone hydrochloride 2 mg/1TabletOralRhodes Pharmaceuticals LLC42858-122
Hydromorphone HydrochlorideHydromorphone hydrochloride 4 mg/1TabletOralBryant Ranch Prepack71335-9701
Dilaudidhydromorphone hydrochlorideHydromorphone hydrochloride 4 mg/1TabletOralRhodes Pharmaceuticals LLC42858-234
Hydromorphone HydrochlorideHydromorphone hydrochloride 4 mg/1TabletOralRhodes Pharmaceuticals LLC42858-302
Hydromorphone HydrochlorideHydromorphone hydrochloride 8 mg/1TabletOralRhodes Pharmaceuticals LLC42858-303
Dilaudidhydromorphone hydrochlorideHydromorphone hydrochloride 8 mg/1TabletOralRhodes Pharmaceuticals LLC42858-338
Hydromorphone HydrochlorideHydromorphone hydrochloride 4 mg/1TabletOralSt. Mary's Medical Park Pharmacy60760-998

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