Theo-24 (theophylline anhydrous) NDC 52244-200

NDC codes

FDA NDC Directory

Product NDC (as listed)52244-200Labeler and product segments. Claims need a package NDC.

Product NDC at billing width52244-0200Add 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 NDC	11-digit (billing)	Package	Copy
52244-200-10	52244020010	100 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (52244-200-10)Marketed from Aug 25, 2014

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): Theo-24
Generic name (nonproprietary): theophylline anhydrous
Active ingredients: Theophylline anhydrous — 200 mg/1
Dosage form: Capsule, Extended release
Route: Oral
Labeler: ENDO USA, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 087943
Marketing start: Aug 25, 2014
Listing expires: Dec 31, 2026
Other FDA classes: Xanthines (Chemical structure)
Identifiers: Product ID 52244-200_95d19693-50ba-43fc-81fe-6cddc537703aSPL ID 95d19693-50ba-43fc-81fe-6cddc537703aSPL set ID 7a108fa0-c230-475f-be93-6f864b98a410RxCUI 198264, 313272, 313310, 701712, 844590, 844591, 844813, 844829UNII 0I55128JYK
Pharmacologic class: Methylxanthine

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

N452244020010 followed by a unit qualifier and the quantity

Package 52244-0200-10. 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

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