Triamterene and Hydrochlorothiazide NDC 50090-2028

NDC codes

FDA NDC Directory

Product NDC (as listed)50090-2028Labeler and product segments. Claims need a package NDC.

Product NDC at billing width50090-2028Add 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
50090-2028-0	50090202800	30 CAPSULE in 1 BOTTLE (50090-2028-0)Marketed from Sep 24, 2015
50090-2028-1	50090202801	100 CAPSULE in 1 BOTTLE (50090-2028-1)Marketed from Sep 24, 2015
50090-2028-4	50090202804	90 CAPSULE in 1 BOTTLE (50090-2028-4)Marketed from Mar 9, 2018

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): Triamterene and Hydrochlorothiazide
Generic name (nonproprietary): triamterene and hydrochlorothiazide
Active ingredients: Triamterene — 37.5 mg/1Hydrochlorothiazide — 25 mg/1
Dosage form: Capsule
Route: Oral
Labeler: A-S Medication Solutions
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 201407
Marketing start: Dec 9, 2011
Listing expires: Dec 31, 2026
Other FDA classes: Decreased Renal K+ Excretion (Physiologic effect)Increased Diuresis (Physiologic effect)Increased Diuresis (Physiologic effect)Thiazides (Chemical structure)
Identifiers: Product ID 50090-2028_2f5aff99-b625-4cf0-a4b7-27db96adfffdSPL ID 2f5aff99-b625-4cf0-a4b7-27db96adfffdSPL set ID d692b189-1b06-46f5-a257-758a7dede863RxCUI 198316UNII WS821Z52LQ, 0J48LPH2TH
Pharmacologic class: Potassium-sparing Diuretic; Thiazide Diuretic

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

N450090202800 followed by a unit qualifier and the quantity

Package 50090-2028-00. 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 201407

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

FDA NDC Directory listings under ANDA 201407
Product	Strength	Form · route	Labeler	Product NDC
Triamterene and Hydrochlorothiazide	Triamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1	CapsuleOral	Proficient Rx LP	63187-905
Triamterene And Hydrochlorothiazide	Triamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1	CapsuleOral	Chartwell RX, LLC	62135-529
Triamterene and Hydrochlorothiazide	Triamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1	CapsuleOral	Bryant Ranch Prepack	71335-0504
Triamterene and Hydrochlorothiazide	Triamterene 37.5 mg/1; Hydrochlorothiazide 25 mg/1	CapsuleOral	Bryant Ranch Prepack	72162-1084