NDC 50090-1103

NDC codes

FDA NDC Directory

Product NDC (as listed)50090-1103Labeler and product segments. Claims need a package NDC.

Product NDC at billing width50090-1103Add 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	Copy
50090-1103-0	50090110300	1 BOTTLE in 1 CARTON (50090-1103-0) / 120 mL in 1 BOTTLEMarketed 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): Childrens Cetirizine Hydrochloride Sugar Free GrapeSuffix: Sugar Free Grape
Generic name (nonproprietary): cetirizine hydrochloride
Active ingredients: Cetirizine hydrochloride — 1 mg/mL
Dosage form: Solution
Route: Oral
Labeler: A-S Medication Solutions
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 090182
Marketing start: Sep 8, 2011
Listing expires: Dec 31, 2026
Other FDA classes: Histamine H1 Receptor Antagonists (Mechanism)
Identifiers: Product ID 50090-1103_608495a7-c01c-4f67-8243-b4a3df6e1c0aSPL ID 608495a7-c01c-4f67-8243-b4a3df6e1c0aSPL set ID 016b66fd-dde9-4f13-afaf-a8aafbdeed1aRxCUI 1014673UNII 64O047KTOA
Pharmacologic class: Histamine-1 Receptor Antagonist

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

N450090110300 followed by a unit qualifier and the quantity

Package 50090-1103-00. 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 Jan 23, 2024.

Indications (excerpt from the label)

Uses Temporarily relieves these symptoms due to hay fever or other upper respiratory allergies: runny nose itchy, watery eyes sneezing itching of the nose or throat

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090182

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

FDA NDC Directory listings under ANDA 090182
Product	Strength	Form · route	Labeler	Product NDC
Cetirizine Hydrochloride	Cetirizine hydrochloride 1 mg/mL	SolutionOral	STRATEGIC SOURCING SERVICES LLC	70677-1236
Premier Value Childrens Cetirizinecetirizine hydrochloride	Cetirizine hydrochloride 5 mg/5mL	SolutionOral	Pharmacy Value Alliance LLC	68016-165
Childrens Cetirizine Hydrochloride Sugar Free Grapecetirizine hydrochloride	Cetirizine hydrochloride 1 mg/mL	SolutionOral	VERITYRX, LLC	83939-0009
childrens allergycetirizine hydrochloride	Cetirizine hydrochloride 5 mg/5mL	SolutionOral	Publix Super Markets Inc	56062-102
Childrens Cetirizine Hydrochloride Sugar Free Grapecetirizine hydrochloride	Cetirizine hydrochloride 1 mg/mL	SolutionOral	Sun Pharmaceutical Industries, Inc.	51672-2102
Childrens Cetirizine Hydrochloridecetirizine hydrochloride	Cetirizine hydrochloride 5 mg/5mL	SolutionOral	Chain Drug Consortium, LLC (Premier Value)	68016-023
Childrens Cetirizine Hydrochloridecetirizine hydrochloride	Cetirizine hydrochloride 1 mg/mL	SolutionOral	Sun Pharmaceutical Industries, Inc.	51672-2147
Childrens Cetirizine Hydrochloride Sugar Free Grapecetirizine hydrochloride	Cetirizine hydrochloride 1 mg/mL	SolutionOral	Proficient Rx LP	71205-705
Equate Childrens Allergy Reliefcetirizine hydrochloride	Cetirizine hydrochloride 5 mg/5mL	SolutionOral	Wal-Mart Stores Inc	49035-276
HEB Allergy Reliefcetirizine hydrochloride	Cetirizine hydrochloride 5 mg/5mL	SolutionOral	H E B	37808-102
SIMPLY RIGHT childrens cetirizinecetirizine hydrochloride	Cetirizine hydrochloride 5 mg/5mL	SolutionOral	Sam's West Inc	68196-102

Childrens Cetirizine Hydrochloride Sugar Free Grape NDC 50090-1103