Prescription drug · ANDA

Pantoprazole Sodium NDC 55154-0289

Pantoprazole sodium 40 mg/1 · Tablet, Delayed release · Oral · Cardinal Health 107, LLC

NDC codes

FDA NDC Directory
Product NDC (as listed)55154-0289Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55154-0289Add 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
55154-0289-05515402890010 BLISTER PACK in 1 BAG (55154-0289-0) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACKMarketed from Sep 14, 2026

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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 Sodium
Generic name (nonproprietary)
pantoprazole sodium
Active ingredients
Pantoprazole sodium — 40 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090970
Marketing start
Listing expires
Other FDA classes
Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 55154-0289_95533114-68c6-4983-bc78-5bde70600c95SPL ID 95533114-68c6-4983-bc78-5bde70600c95
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

N455154028900 followed by a unit qualifier and the quantity

Package 55154-0289-00. 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

The FDA listing for this product does not reference a label (SPL) set.

Other NDCs under ANDA 090970

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

FDA NDC Directory listings under ANDA 090970
ProductStrengthForm · routeLabelerProduct NDC
Pantoprazole Sodium DRpantoprazole sodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0179
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralQPharma Inc42708-180
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralBryant Ranch Prepack71335-1429
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralMylan Pharmaceuticals Inc.0378-6688
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralMylan Pharmaceuticals Inc.0378-6689
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralCardinal Health 107, LLC55154-4382
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralMylan Institutional Inc.51079-051
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralNCS HealthCare of KY, LLC dba Vangard Labs0615-7629
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralSafecor Health LLC48433-081

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Pantoprazole Sodium NDC 55154-0289 | Med-Code