NDC codes

FDA NDC Directory
Product NDC (as listed)47426-503Labeler and product segments. Claims need a package NDC.
Product NDC at billing width47426-0503Add 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
47426-503-01474260503011 CARTON in 1 KIT (47426-503-01) / 1 VIAL, SINGLE-DOSE in 1 CARTON (47426-503-03) / 2.3 mL in 1 VIAL, SINGLE-DOSEMarketed from Dec 1, 2024

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)
Zynrelef
Generic name (nonproprietary)
bupivacaine and meloxicam
Active ingredients
Bupivacaine — 200 mg/7mLMeloxicam — 6 mg/7mL
Dosage form
Solution
Route
Infiltration
Labeler
Heron Therapeutics, Inc.NDC labeler code 47426
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 211988
Marketing start
Listing expires
Other FDA classes
Amides (Chemical structure)Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 47426-503_ab2a0921-41d7-4b3b-ace9-6adccb12c5e9SPL ID ab2a0921-41d7-4b3b-ace9-6adccb12c5e9SPL set ID dab484a7-9353-43ba-9e74-7fab910c712bRxCUI 2560306, 2560308, 2560309, 2560311, 2560312, 2560315, 2560319, 2560321UNII Y8335394RO, VG2QF83CGL
Pharmacologic class
Amide Local Anesthetic; Nonsteroidal Anti-inflammatory Drug

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N447426050301 followed by a unit qualifier and the quantity

Package 47426-0503-01. 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)

ZYNRELEF is indicated in adults for postsurgical analgesia for up to 72 hours after: soft tissue surgical procedures orthopedic surgical procedures – foot and ankle procedures – other orthopedic surgical procedures (e.g., total joint arthroplasty) in which direct exposure to articular cartilage is avoided [see Warnings and Precautions (5.10) ] ZYNRELEF is indicated in adults for postsurgical analgesia for up to 72 hours after: soft tissue surgical procedures orthopedic surgical procedures – foot and ankle procedures – other orthopedic surgical procedures (e.g., total joint arthroplasty) in which direct exposure to articular cartilage is avoided [see Warnings and Precautions (5.10) ] Limitati…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 47426-503

What is NDC 47426-503?
47426-503 is the product NDC for Zynrelef, Bupivacaine 200 mg/7mL; Meloxicam 6 mg/7mL solution, listed with the FDA by Heron Therapeutics, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Zynrelef (BUPIVACAINE and MELOXICAM).
What is the active ingredient?
Bupivacaine, Meloxicam.
Who is the labeler?
Heron Therapeutics, Inc., NDC labeler code 47426. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Zynrelef?
1 other product NDC are listed under this name. See all Zynrelef 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 Zynrelef NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Zynrelefbupivacaine and meloxicamBupivacaine 400 mg/14mL; Meloxicam 12 mg/14mLSolutionInfiltrationHeron Therapeutics, Inc.47426-50147426-0501-02

Other NDCs under NDA 211988

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

FDA NDC Directory listings under NDA 211988
ProductStrengthForm · routeLabelerProduct NDC
Zynrelefbupivacaine and meloxicamBupivacaine 400 mg/14mL; Meloxicam 12 mg/14mLSolutionInfiltrationHeron Therapeutics, Inc.47426-501

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