NDC codes

FDA NDC Directory
Product NDC (as listed)50090-2445Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-2445Add 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
50090-2445-0500902445009 TABLET in 1 BOTTLE (50090-2445-0)Marketed from Aug 8, 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)
Xifaxan
Generic name (nonproprietary)
rifaximin
Active ingredients
Rifaximin — 200 mg/1
Dosage form
Tablet
Route
Oral
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021361
Marketing start
Listing expires
Other FDA classes
Rifamycins (Chemical structure)
Identifiers
Product ID 50090-2445_ea4a4cc3-d11c-46d6-aa97-d65eef8406ddSPL ID ea4a4cc3-d11c-46d6-aa97-d65eef8406ddSPL set ID f73acb74-e930-4414-81e9-d2a01db36e30RxCUI 429662, 539789UNII L36O5T016N
Pharmacologic class
Rifamycin Antibacterial

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

N450090244500 followed by a unit qualifier and the quantity

Package 50090-2445-00. 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 .

Indications (excerpt from the label)

To reduce the development of drug-resistant bacteria and maintain the effectiveness of XIFAXAN and other antibacterial drugs, XIFAXAN when used to treat infection should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy. XIFAXAN is a rifamycin antibacterial indicated for: • Treatment of travelers’ diarrhea (TD) caused by noninvasive strains of Escherichia coli in adu…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-2445

What is NDC 50090-2445?
50090-2445 is the product NDC for Xifaxan (rifaximin), Rifaximin 200 mg/1 tablet, listed with the FDA by A-S Medication Solutions. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Xifaxan (Rifaximin).
What is the active ingredient?
Rifaximin.
Who is the labeler?
A-S Medication Solutions, NDC labeler code 50090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Xifaxan?
3 other product NDCs are listed under this name. See all Xifaxan NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Xifaxan NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
XifaxanrifaximinRifaximin 550 mg/1TabletOralCardinal Health 107, LLC55154-677755154-6777-08
XifaxanrifaximinRifaximin 550 mg/1TabletOralSalix Pharmaceuticals, Inc.65649-30365649-0303-0165649-0303-0265649-0303-03+1 more
XifaxanrifaximinRifaximin 200 mg/1TabletOralSalix Pharmaceuticals, Inc.65649-30165649-0301-03

Other NDCs under NDA 021361

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

FDA NDC Directory listings under NDA 021361
ProductStrengthForm · routeLabelerProduct NDC
XifaxanrifaximinRifaximin 550 mg/1TabletOralCardinal Health 107, LLC55154-6777
XifaxanrifaximinRifaximin 200 mg/1TabletOralSalix Pharmaceuticals, Inc.65649-301
XifaxanrifaximinRifaximin 550 mg/1TabletOralSalix Pharmaceuticals, Inc.65649-303

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