NDC codes

FDA NDC Directory
Product NDC (as listed)55111-332Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55111-0332Add 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
55111-332-0155111033201100 TABLET, DELAYED RELEASE in 1 BOTTLE (55111-332-01)Marketed from Jan 19, 2011
55111-332-0555111033205500 TABLET, DELAYED RELEASE in 1 BOTTLE (55111-332-05)Marketed from Jan 19, 2011
55111-332-10551110332101000 TABLET, DELAYED RELEASE in 1 BOTTLE (55111-332-10)Marketed from Jan 19, 2011
55111-332-305511103323030 TABLET, DELAYED RELEASE in 1 BOTTLE (55111-332-30)Marketed from Jan 19, 2011
55111-332-785511103327810 BLISTER PACK in 1 CARTON (55111-332-78) / 10 TABLET, DELAYED RELEASE in 1 BLISTER PACK (55111-332-79)Marketed from Jan 19, 2011
55111-332-81551110332813 BLISTER PACK in 1 CARTON (55111-332-81) / 10 TABLET, DELAYED RELEASE in 1 BLISTER PACK (55111-332-79)Marketed from Jan 19, 2011
55111-332-905511103329090 TABLET, DELAYED RELEASE in 1 BOTTLE (55111-332-90)Marketed from Jan 19, 2011

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)
Pantoprazole
Generic name (nonproprietary)
pantoprazole
Active ingredients
Pantoprazole sodium — 20 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077619
Marketing start
Listing expires
Other FDA classes
Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 55111-332_c0575fc6-20c4-12a6-10b7-1af65cac1ee0SPL ID c0575fc6-20c4-12a6-10b7-1af65cac1ee0SPL set ID 564709e8-358f-c185-4ecb-b3849c3fe59cRxCUI 251872, 314200UNII 6871619Q5X
Pharmacologic class
Proton Pump Inhibitor

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

N455111033201 followed by a unit qualifier and the quantity

Package 55111-0332-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 077619

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

FDA NDC Directory listings under ANDA 077619
ProductStrengthForm · routeLabelerProduct NDC
PantoprazolePantoprazole sodium 20 mg/1Tablet, Delayed releaseOralSt. Mary's Medical Park Pharmacy60760-574
PantoprazolePantoprazole sodium 20 mg/1Tablet, Delayed releaseOralPreferred Pharmaceuticals Inc.68788-8505
PantoprazolePantoprazole sodium 20 mg/1Tablet, Delayed releaseOralPHOENIX RX LLC85509-1332
PantoprazolePantoprazole sodium 20 mg/1Tablet, Delayed releaseOralAdvanced Rx of Tennessee, LLC80425-0552
PantoprazolePantoprazole sodium 40 mg/1Tablet, Delayed releaseOralDr.Reddy's Laboratories Limited55111-333
PantoprazolePantoprazole sodium 20 mg/1Tablet, Delayed releaseOralCoupler LLC67046-0789
PantoprazolePantoprazole sodium 40 mg/1Tablet, Delayed releaseOralNuCare Pharmaceuticals,Inc.68071-3995
PantoprazolePantoprazole sodium 40 mg/1Tablet, Delayed releaseOralNuCare Pharmaceuticals,Inc.68071-3524
PantoprazolePantoprazole sodium 20 mg/1Tablet, Delayed releaseOralNuCare Pharmaceuticals, Inc.68071-3776
PantoprazolePantoprazole sodium 20 mg/1Tablet, Delayed releaseOralNorthStar RxLLC72603-177
PantoprazolePantoprazole sodium 40 mg/1Tablet, Delayed releaseOralNorthStar RxLLC72603-178

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