Prescription drug · UNAPPROVED DRUG OTHER
Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate and Scopolamine Hydrobromide NDC 50742-667
Phenobarbital 16.2 mg/1 + 3 more ingredients · Tablet · Oral · Ingenus Pharmaceuticals, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 50742-667-01 | 50742066701 | 100 TABLET in 1 BOTTLE, PLASTIC (50742-667-01)Marketed from Aug 1, 2021 |
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)
- Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate and Scopolamine Hydrobromide
- Generic name (nonproprietary)
- phenobarbital, hyoscyamine sulfate, atropine sulfate and scopolamine hydrobromide
- Active ingredients
- Phenobarbital — 16.2 mg/1Hyoscyamine sulfate — .1037 mg/1Atropine sulfate — .0194 mg/1Scopolamine hydrobromide — .0065 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- Ingenus Pharmaceuticals, LLC
- Product type
- Prescription drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Listing expires
- DEA schedule
- CIV
- Other FDA classes
- Cholinergic Antagonists (Mechanism)Cholinergic Antagonists (Mechanism)Cholinergic Muscarinic Antagonists (Mechanism)
- Identifiers
- Product ID 50742-667_3796f3d7-7e45-4a49-aaa2-7363c197b2f2SPL ID 3796f3d7-7e45-4a49-aaa2-7363c197b2f2SPL set ID 0dd71f55-e009-48dd-809d-5f651f7521deRxCUI 1046815UNII YQE403BP4D, F2R8V82B84, 03J5ZE7KA5, 451IFR0GXBUPC 0350742667017
- Pharmacologic class
- Anticholinergic; Cholinergic Muscarinic Antagonist
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
N450742066701followed by a unit qualifier and the quantityPackage 50742-0667-01. 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 .