NDC codes

FDA NDC Directory
Product NDC (as listed)50090-0404Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-0404Add 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
50090-0404-050090040400100 mL in 1 BOTTLE (50090-0404-0)Marketed from Jun 29, 2016

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)
Amoxicillin
Generic name (nonproprietary)
amoxicillin
Active ingredients
Amoxicillin — 125 mg/5mL
Dosage form
Powder, For suspension
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 065322
Marketing start
Listing expires
Other FDA classes
Penicillins (Chemical structure)
Identifiers
Product ID 50090-0404_712374d0-76de-47f2-b26c-df9d82bbb663SPL ID 712374d0-76de-47f2-b26c-df9d82bbb663SPL set ID 60c7ae87-9631-4b29-9ca4-82fb3bafcab8RxCUI 313797UNII 804826J2HU

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

N450090040400 followed by a unit qualifier and the quantity

Package 50090-0404-00. 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 065322

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

FDA NDC Directory listings under ANDA 065322
ProductStrengthForm · routeLabelerProduct NDC
AmoxicillinAmoxicillin 250 mg/5mLPowder, For suspensionOralNuCare Pharmaceuticals,Inc.66267-993
AmoxicillinAmoxicillin 125 mg/5mLPowder, For suspensionOralProficient Rx LP63187-295
AmoxicillinAmoxicillin 250 mg/5mLPowder, For suspensionOralNuCare Pharmaceuticals Inc.68071-3678
AmoxicillinAmoxicillin 125 mg/5mLPowder, For suspensionOralPreferred Pharmaceuticals Inc.68788-4024
AmoxicillinAmoxicillin 250 mg/5mLPowder, For suspensionOralNuCare Pharmaceuticals,Inc.68071-2364
AmoxicillinAmoxicillin 250 mg/5mLPowder, For suspensionOralA-S Medication Solutions50090-2251
AmoxicillinAmoxicillin 250 mg/5mLPowder, For suspensionOralProficient Rx LP63187-029
AmoxicillinAmoxicillin 125 mg/5mLPowder, For suspensionOralHikma Pharmaceuticals USA Inc.0143-9888
AmoxicillinAmoxicillin 250 mg/5mLPowder, For suspensionOralA-S Medication Solutions50090-0407
AmoxicillinAmoxicillin 250 mg/5mLPowder, For suspensionOralA-S Medication Solutions50090-0405
AmoxicillinAmoxicillin 125 mg/5mLPowder, For suspensionOralA-S Medication Solutions50090-0406
AmoxicillinAmoxicillin 125 mg/5mLPowder, For suspensionOralNuCare Pharmaceuticals,Inc.68071-1761
AmoxicillinAmoxicillin 250 mg/5mLPowder, For suspensionOralA-S Medication Solutions50090-0411
AmoxicillinAmoxicillin 125 mg/5mLPowder, For suspensionOralNuCare Pharmaceuticals,Inc.68071-1760
AmoxicillinAmoxicillin 250 mg/5mLPowder, For suspensionOralPreferred Pharmaceuticals Inc.68788-8759
AmoxicillinAmoxicillin 250 mg/5mLPowder, For suspensionOralHikma Pharmaceuticals USA Inc.0143-9889

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