NDC codes

FDA NDC Directory
Product NDC (as listed)50090-0879Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-0879Add 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
50090-0879-05009008790025 VIAL, SINGLE-DOSE in 1 PACKAGE (50090-0879-0) / 1 mL in 1 VIAL, SINGLE-DOSEMarketed from Nov 28, 2014

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)
Promethazine Hydrochloride
Generic name (nonproprietary)
promethazine hydrochloride
Active ingredients
Promethazine hydrochloride — 50 mg/mL
Dosage form
Injection
Route
Intramuscular
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 083312
Marketing start
Listing expires
Other FDA classes
Phenothiazines (Chemical structure)
Identifiers
Product ID 50090-0879_5cb280fa-c45d-4dbb-8e1d-c2271db20a77SPL ID 5cb280fa-c45d-4dbb-8e1d-c2271db20a77SPL set ID c930985b-bba3-4f3a-a1ae-1d808670efdeRxCUI 992858UNII R61ZEH7I1I
Pharmacologic class
Phenothiazine

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.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N450090087900 followed by a unit qualifier and the quantity

Package 50090-0879-00. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Promethazine hydrochloride injection is indicated for the following conditions: Amelioration of allergic reactions to blood or plasma. In anaphylaxis as an adjunct to epinephrine and other standard measures after the acute symptoms have been controlled. For other uncomplicated allergic conditions of the immediate type when oral therapy is impossible or contraindicated. For sedation and relief of apprehension and to produce light sleep from which the patient can be easily aroused. Active treatment of motion sickness. Prevention and control of nausea and vomiting associated with certain types of anesthesia and surgery. As an adjunct to analgesics for the control of postop…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 083312

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

FDA NDC Directory listings under ANDA 083312
ProductStrengthForm · routeLabelerProduct NDC
Promethazine HydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-0955
Promethazine HydrochloridePromethazine hydrochloride 50 mg/mLInjectionIntramuscularHenry Schein, Inc.0404-9942
Promethazine HydrochloridePromethazine hydrochloride 50 mg/mLInjectionIntramuscularHikma Pharmaceuticals USA Inc.0641-0956
Promethazine HydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-1495
Promethazine HydrochloridePromethazine hydrochloride 50 mg/mLInjectionIntramuscularHikma Pharmaceuticals USA Inc.0641-1496
Phenerganpromethazine hydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6082
Promethazine HciPromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousHF Acquisition Co. LLC, DBA HealthFirst51662-1247
Promethazine HciPromethazine hydrochloride 50 mg/mLInjectionIntramuscular, IntravenousHF Acquisition Co. LLC, DBA HealthFirst51662-1248
Phenerganpromethazine hydrochloridePromethazine hydrochloride 50 mg/mLInjectionIntramuscularHikma Pharmaceuticals USA Inc.0641-6083
Phenerganpromethazine hydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6084
Promethazine HydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousMedical Purchasing Solutions, LLC71872-7285
Phenerganpromethazine hydrochloridePromethazine hydrochloride 50 mg/mLInjectionIntramuscularHikma Pharmaceuticals USA Inc.0641-6085
Promethazine HydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-6208
Promethazine HydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousProPharma Distribution84549-928
Promethazine HydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousMedical Purchasing Solutions, LLC71872-7077
Promethazine HydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-0928
Promethazine HydrochloridePromethazine hydrochloride 50 mg/mLInjectionIntramuscularHikma Pharmaceuticals USA Inc.0641-0929
Promethazine HydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-0948
Promethazine HydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousHenry Schein, Inc.0404-9940
Promethazine HydrochloridePromethazine hydrochloride 25 mg/mLInjectionIntramuscular, IntravenousCardinal Health 107, LLC55154-2861

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