NDC codes

FDA NDC Directory
Product NDC (as listed)50090-5863Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-5863Add 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
50090-5863-05009058630020 TABLET, COATED in 1 BOTTLE (50090-5863-0)Marketed from Dec 2, 2021
50090-5863-15009058630114 TABLET, COATED in 1 BOTTLE (50090-5863-1)Marketed from Jul 3, 2022
50090-5863-25009058630230 TABLET, COATED in 1 BOTTLE (50090-5863-2)Marketed from Dec 2, 2021

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 — 875 mg/1
Dosage form
Tablet, Coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 065255
Marketing start
Listing expires
Other FDA classes
Penicillins (Chemical structure)
Identifiers
Product ID 50090-5863_fa954a9d-1523-4cfe-8a58-d6988cec87fbSPL ID fa954a9d-1523-4cfe-8a58-d6988cec87fbSPL set ID 4eee2b38-ca84-421d-87e1-031bc5a3f3a7RxCUI 308194UNII 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

N450090586300 followed by a unit qualifier and the quantity

Package 50090-5863-00. 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 065255

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

FDA NDC Directory listings under ANDA 065255
ProductStrengthForm · routeLabelerProduct NDC
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralA-S Medication Solutions50090-5880
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralHikma Pharmaceuticals USA Inc.0143-9285
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralProficient Rx LP82804-200
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralNuCare Pharmaceuticals, Inc.68071-3716
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralPreferred Pharmaceuticals Inc.68788-4062
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralPD-Rx Pharmaceuticals, Inc.43063-885
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralPD-Rx Pharmaceuticals, Inc.72789-224
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralRedpharm Drug67296-2328
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralAsclemed USA, Inc.76420-138

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