NDC codes

FDA NDC Directory
Product NDC (as listed)50742-246Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50742-0246Add 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
50742-246-1850742024618180 TABLET in 1 BOTTLE (50742-246-18)Marketed from Apr 12, 2022
50742-246-905074202469090 TABLET in 1 BOTTLE (50742-246-90)Marketed from Apr 12, 2022

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Isosorbide dinitrate and hydralazine hydrochloride
Generic name (nonproprietary)
isosorbide dinitrate and hydralazine hydrochloride
Active ingredients
Hydralazine hydrochloride — 37.5 mg/1Isosorbide dinitrate — 20 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 215586
Marketing start
Listing expires
Other FDA classes
Arteriolar Vasodilation (Physiologic effect)Nitrates (Chemical structure)Vasodilation (Physiologic effect)
Identifiers
Product ID 50742-246_3ba1968f-1fbf-4136-8bcd-c2af2fc93a83SPL ID 3ba1968f-1fbf-4136-8bcd-c2af2fc93a83SPL set ID 8f54d5a3-169f-48dd-9250-2c176d2bd9adRxCUI 905377UNII FD171B778Y, IA7306519NUPC 0350742246908, 0350742246182
Pharmacologic class
Arteriolar Vasodilator; Nitrate Vasodilator

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

N450742024618 followed by a unit qualifier and the quantity

Package 50742-0246-18. 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)

Isosorbide dinitrate and hydralazine hydrochloride tablets is a combination of isosorbide dinitrate, a nitrate vasodilator, and hydralazine hydrochloride, an arteriolar vasodilator, indicated for: ● the treatment of heart failure as an adjunct therapy to standard therapy in self-identified black patients to improve survival, prolong time to hospitalization for heart failure and to improve patient-reported functional status ( 1.1 ) Limitations of use: ● There is little experience in patients with NYHA class IV heart failure ( 1.2 ) 1.1 Treatment of Heart Failure in Self-identified Black Patients Isosorbide dinitrate and hydralazine hydrochloride tablets are indicated for the treatment of hear…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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