NDC codes

FDA NDC Directory
Product NDC (as listed)50090-6213Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-6213Add 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
50090-6213-05009062130030 CAPSULE, DELAYED RELEASE PELLETS in 1 BOTTLE (50090-6213-0)Marketed from Nov 8, 2022
50090-6213-15009062130190 CAPSULE, DELAYED RELEASE PELLETS in 1 BOTTLE (50090-6213-1)Marketed from Nov 8, 2022

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)
Esomeprazole Magnesium
Generic name (nonproprietary)
esomeprazole magnesium
Active ingredients
Esomeprazole magnesium — 20 mg/1
Dosage form
Capsule, Delayed release pellets
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209495
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C19 Inhibitors (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 50090-6213_80d686fb-c0ee-4bbc-b633-c476ddaa834bSPL ID 80d686fb-c0ee-4bbc-b633-c476ddaa834bSPL set ID e79725fe-54c8-4dcb-a03a-0c91cc20cf77RxCUI 606726UNII R6DXU4WAY9
Pharmacologic class
Proton Pump Inhibitor

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

N450090621300 followed by a unit qualifier and the quantity

Package 50090-6213-00. 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)

Esomeprazole magnesium delayed-release capsules are a proton pump inhibitor (PPI). Esomeprazole magnesium delayed-release capsules are indicated for the: • Short-term treatment in the healing of erosive esophagitis (EE) in adults and pediatric patients 12 years to 17 years of age. ( 1.1 ) • Maintenance of healing of EE in adults. ( 1.2 ) • Short-term treatment of heartburn and other symptoms associated GERD in adults and pediatric patients 12 years to 17 years of age. ( 1.3 ) • Risk reduction of nonsteroidal anti-inflammatory drugs (NSAID)-associated gastric ulcer in adults at risk for developing gastric ulcers due to age (60 years and older) and/or documented history of gastric ulcers. ( 1.…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209495

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

FDA NDC Directory listings under ANDA 209495
ProductStrengthForm · routeLabelerProduct NDC
Esomeprazole MagnesiumEsomeprazole magnesium 40 mg/1Capsule, Delayed release pelletsOralA-S Medication Solutions50090-6128
Esomeprazole MagnesiumEsomeprazole magnesium 20 mg/1Capsule, Delayed release pelletsOralGlenmark Pharmaceuticals Inc., USA68462-390
Esomeprazole MagnesiumEsomeprazole magnesium 40 mg/1Capsule, Delayed release pelletsOralGlenmark Pharmaceuticals Inc., USA68462-391

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