NDC codes

FDA NDC Directory
Product NDC (as listed)50090-0139Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-0139Add 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
50090-0139-15009001390160 TABLET in 1 BOTTLE (50090-0139-1)Marketed from Nov 28, 2014
50090-0139-250090013902180 TABLET in 1 BOTTLE (50090-0139-2)Marketed from Nov 28, 2014
50090-0139-35009001390390 TABLET in 1 BOTTLE (50090-0139-3)Marketed from Dec 11, 2018
50090-0139-450090013904270 TABLET in 1 BOTTLE (50090-0139-4)Marketed from Jan 21, 2020

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Hydralazine Hydrochloride
Generic name (nonproprietary)
hydralazine hydrochloride
Active ingredients
Hydralazine hydrochloride — 50 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040901
Marketing start
Listing expires
Other FDA classes
Arteriolar Vasodilation (Physiologic effect)
Identifiers
Product ID 50090-0139_d14a312f-cf30-4282-8387-ac085046255bSPL ID d14a312f-cf30-4282-8387-ac085046255bSPL set ID f16f1d87-f9e6-4555-9baf-26ff17cb1d28RxCUI 905225, 905395UNII FD171B778Y
Pharmacologic class
Arteriolar Vasodilator

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

N450090013901 followed by a unit qualifier and the quantity

Package 50090-0139-01. 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

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

Other NDCs under ANDA 040901

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

FDA NDC Directory listings under ANDA 040901
ProductStrengthForm · routeLabelerProduct NDC
Hydralazine HydrochlorideHydralazine hydrochloride 25 mg/1TabletOralBryant Ranch Prepack71335-0202
Hydralazine HydrochlorideHydralazine hydrochloride 50 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-1940
Hydralazine HydrochlorideHydralazine hydrochloride 10 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-2055
Hydralazine HydrochlorideHydralazine hydrochloride 100 mg/1TabletOralPreferred Pharmaceuticals, Inc.68788-8087
Hydralazine HydrochlorideHydralazine hydrochloride 100 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-7973
Hydralazine HydrochlorideHydralazine hydrochloride 25 mg/1TabletOralCamber Pharmaceuticals, Inc.31722-520
Hydralazine HydrochlorideHydralazine hydrochloride 10 mg/1TabletOralCamber Pharmaceuticals, Inc.31722-519
Hydralazine HydrochlorideHydralazine hydrochloride 50 mg/1TabletOralCamber Pharmaceuticals, Inc.31722-521
Hydralazine HydrochlorideHydralazine hydrochloride 100 mg/1TabletOralCamber Pharmaceuticals, Inc.31722-522
Hydralazine HydrochlorideHydralazine hydrochloride 100 mg/1TabletOralProficient Rx LP82804-197
Hydralazine HydrochlorideHydralazine hydrochloride 10 mg/1TabletOralProficient Rx LP71205-091
Hydralazine HydrochlorideHydralazine hydrochloride 50 mg/1TabletOralA-S Medication Solutions50090-6684
Hydralazine HydrochlorideHydralazine hydrochloride 50 mg/1TabletOralBryant Ranch Prepack63629-5246
Hydralazine HydrochlorideHydralazine hydrochloride 100 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-5285
Hydralazine HydrochlorideHydralazine hydrochloride 100 mg/1TabletOralBryant Ranch Prepack71335-1589
Hydralazine HydrochlorideHydralazine hydrochloride 25 mg/1TabletOralREMEDYREPACK INC.70518-2551
Hydralazine HydrochlorideHydralazine hydrochloride 25 mg/1TabletOralA-S Medication Solutions50090-0137
Hydralazine HydrochlorideHydralazine hydrochloride 10 mg/1TabletOralBryant Ranch Prepack71335-1685

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