Esomeprazole Magnesium NDC 46122-736

NDC codes

FDA NDC Directory

Product NDC (as listed)46122-736Labeler and product segments. Claims need a package NDC.

Product NDC at billing width46122-0736Add 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 NDC	11-digit (billing)	Package
46122-736-03	46122073603	2 BOTTLE in 1 CARTON (46122-736-03) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from Jul 19, 2023
46122-736-04	46122073604	3 BOTTLE in 1 CARTON (46122-736-04) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from Jul 20, 2023
46122-736-74	46122073674	1 BOTTLE in 1 CARTON (46122-736-74) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from Aug 4, 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): Esomeprazole Magnesium
Generic name (nonproprietary): esomeprazole magnesium
Active ingredients: Esomeprazole magnesium dihydrate — 20 mg/1
Dosage form: Capsule, Delayed release
Route: Oral
Labeler: Amerisource Bergen
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 209339
Marketing start: Jul 19, 2023
Listing expires: Dec 31, 2026
Other FDA classes: Cytochrome P450 2C19 Inhibitors (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers: Product ID 46122-736_90b0b01d-01cc-40a8-b352-5e1e568caddeSPL ID 90b0b01d-01cc-40a8-b352-5e1e568caddeSPL set ID c94eb997-07d4-4d2e-b213-9a0d51db41c0RxCUI 606726UNII 36H71644EQ
Pharmacologic class: Proton Pump Inhibitor

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

N446122073603 followed by a unit qualifier and the quantity

Package 46122-0736-03. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.