NDC codes

FDA NDC Directory
Product NDC (as listed)52427-435Labeler and product segments. Claims need a package NDC.
Product NDC at billing width52427-0435Add 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
52427-435-905242704359090 TABLET in 1 BOTTLE (52427-435-90)Marketed from Apr 15, 2015

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)
Zestoretic
Generic name (nonproprietary)
lisinopril and hydrochlorothiazide
Active ingredients
Lisinopril — 10 mg/1Hydrochlorothiazide — 12.5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Almatica Pharma Inc.NDC labeler code 52427
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 019888
Marketing start
Listing expires
Other FDA classes
Angiotensin-converting Enzyme Inhibitors (Mechanism)Increased Diuresis (Physiologic effect)Thiazides (Chemical structure)
Identifiers
Product ID 52427-435_b8a81227-c1af-6093-4d92-647ad3fee155SPL ID b8a81227-c1af-6093-4d92-647ad3fee155SPL set ID 0d3a966f-f937-05a8-a90f-5aa52ebbd613RxCUI 197885, 197886, 197887, 823971, 823982, 823986UNII 0J48LPH2TH, E7199S1YWRUPC 0352427435904, 0352427436901, 0352427437908
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

N452427043590 followed by a unit qualifier and the quantity

Package 52427-0435-90. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE ZESTORETIC is indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure lowers the risk of fatal and non-fatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes including lisinopril and hydrochlorothiazide. Control of high blood pressure should be part of comprehensive cardiovascular risk management, including, as appropriate, lipid control, diabetes management, antithrombotic therapy, smoking cessation, exercise, and limited sodium intake. Many patients will require more than 1 drug to achieve b…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 52427-435

What is NDC 52427-435?
52427-435 is the product NDC for Zestoretic, Lisinopril 10 mg/1; Hydrochlorothiazide 12.5 mg/1 tablet, listed with the FDA by Almatica Pharma Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Zestoretic (Lisinopril and hydrochlorothiazide).
What is the active ingredient?
Lisinopril, Hydrochlorothiazide.
Who is the labeler?
Almatica Pharma Inc., NDC labeler code 52427. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Zestoretic?
2 other product NDCs are listed under this name. See all Zestoretic NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Zestoretic NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Zestoreticlisinopril and hydrochlorothiazideLisinopril 20 mg/1; Hydrochlorothiazide 12.5 mg/1TabletOralAlmatica Pharma Inc.52427-43652427-0436-90
Zestoreticlisinopril and hydrochlorothiazideLisinopril 20 mg/1; Hydrochlorothiazide 25 mg/1TabletOralAlmatica Pharma Inc.52427-43752427-0437-90

Other NDCs under NDA 019888

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

FDA NDC Directory listings under NDA 019888
ProductStrengthForm · routeLabelerProduct NDC
Zestoreticlisinopril and hydrochlorothiazideLisinopril 20 mg/1; Hydrochlorothiazide 12.5 mg/1TabletOralAlmatica Pharma Inc.52427-436
Zestoreticlisinopril and hydrochlorothiazideLisinopril 20 mg/1; Hydrochlorothiazide 25 mg/1TabletOralAlmatica Pharma Inc.52427-437

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