NDC codes

FDA NDC Directory
Product NDC (as listed)50090-6752Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-6752Add 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
50090-6752-05009067520090 TABLET in 1 BOTTLE (50090-6752-0)Marketed from Oct 17, 2023

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)
Lisinopril and Hydrochlorothiazide
Generic name (nonproprietary)
lisinopril and hydrochlorothiazide tablets
Active ingredients
Lisinopril — 20 mg/1Hydrochlorothiazide — 12.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076230
Marketing start
Listing expires
Other FDA classes
Angiotensin-converting Enzyme Inhibitors (Mechanism)Increased Diuresis (Physiologic effect)Thiazides (Chemical structure)
Identifiers
Product ID 50090-6752_b5917e4e-63e6-4c38-a91e-c2de4da78d68SPL ID b5917e4e-63e6-4c38-a91e-c2de4da78d68SPL set ID 7d4ee5ec-5b68-453b-8d6e-214457a58159RxCUI 197886UNII E7199S1YWR, 0J48LPH2TH
Pharmacologic class
Angiotensin Converting Enzyme Inhibitor; 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

N450090675200 followed by a unit qualifier and the quantity

Package 50090-6752-00. 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.

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