NDC codes

FDA NDC Directory
Product NDC (as listed)55154-4165Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55154-4165Add 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
55154-4165-0551544165005515441650010 BLISTER PACK in 1 BAG (55154-4165-0) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACKMarketed from Sep 28, 2012

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
Labeler
Cardinal Health 107, LLCNDC labeler code 55154
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202038
Marketing start
Listing expires
Other FDA classes
Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 55154-4165_cb2133e3-b30c-4492-b438-efc08caf3fd6SPL ID cb2133e3-b30c-4492-b438-efc08caf3fd6SPL set ID 6229247e-ee15-466e-a8ac-adcd646b738dRxCUI 251872, 314200UNII 6871619Q5XUPC 0055154264501
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

N455154416500 followed by a unit qualifier and the quantity

Package 55154-4165-00. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Pantoprazole sodium delayed-release tablets are indicated for: Pantoprazole sodium is a proton pump inhibitor (PPI) indicated for the following: • Short-Term Treatment of Erosive Esophagitis Associated with Gastroesophageal Reflux Disease (GERD) (1.1) • Maintenance of Healing of Erosive Esophagitis (1.2) • Pathological Hypersecretory Conditions Including Zollinger-Ellison (ZE) Syndrome (1.3) 1.1 Short-Term Treatment of Erosive Esophagitis Associated With Gastroesophageal Reflux Disease (GERD) Pantoprazole sodium is indicated in adults and pediatric patients five years of age and older for the short-term treatment (up to 8 weeks) in the healing and symptomatic relief of erosive esophagitis (E…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 55154-4165

What is NDC 55154-4165?
55154-4165 is the product NDC for Pantoprazole Sodium, Pantoprazole sodium 40 mg/1 tablet, delayed release, listed with the FDA by Cardinal Health 107, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pantoprazole Sodium.
What is the active ingredient?
Pantoprazole sodium.
Who is the labeler?
Cardinal Health 107, LLC, NDC labeler code 55154. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pantoprazole Sodium?
135 other product NDCs are listed under this name. See all Pantoprazole Sodium 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 Pantoprazole Sodium NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Pantoprazole SodiumPantoprazole sodium 40 mg/10mLInjection, Powder, Lyophilized, For solutionIntravenousAvenacy, LLC83634-75183634-0751-10
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralCardinal Health 107, LLC55154-028955154-0289-00
Pantoprazole SodiumpantoprazolePantoprazole sodium 40 mg/1Tablet, Delayed releaseOralAvPAK50268-72750268-0727-10
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralUnit Dose Solutions, Inc.87441-06687441-0066-01
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralUnit Dose Solutions, Inc.87441-06587441-0065-01
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralCoupler LLC67046-034767046-0347-03
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralCoupler LLC67046-053667046-0536-03
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralSafecor Health LLC48433-08148433-0081-20
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralNorthStar Rx LLC72603-74672603-0746-0172603-0746-02
Pantoprazole SodiumPantoprazole sodium 40 mg/10mLInjection, Powder, For solutionIntravenousDevatis Inc.73043-02073043-0020-0173043-0020-1073043-0020-25

All 136 Pantoprazole Sodium NDCs

Other NDCs under ANDA 202038

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

FDA NDC Directory listings under ANDA 202038
ProductStrengthForm · routeLabelerProduct NDC
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralMajor Pharmaceuticals0904-7458
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralAmerican Health Packaging60687-725
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralNuCare Pharmaceuticals,Inc.68071-4895
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralAurobindo Pharma Limited65862-560
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralAsclemed USA, Inc.76420-805
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralAsclemed USA, Inc.76420-806
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralNorthwind Health Company, LLC51655-797
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralBryant Ranch Prepack71335-1165
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralRedpharm Drug67296-1812
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralMajor Pharmaceuticals0904-6870
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralREMEDYREPACK INC.70518-1788
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralA-S Medication Solutions50090-5361
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralA-S Medication Solutions50090-5379
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralHAWAII REPACK, INC.85534-0027
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralA-S Medication Solutions50090-5378
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8113
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralNuCare Pharmaceuticals,Inc.68071-5053
Pantoprazole SodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralCardinal Health 107, LLC55154-2645
Pantoprazole SodiumPantoprazole sodium 40 mg/1Tablet, Delayed releaseOralHAWAII REPACK, INC.85534-0061
Pantoprazole Sodium DRpantoprazole sodiumPantoprazole sodium 20 mg/1Tablet, Delayed releaseOralAdvanced Rx of Tennessee, LLC80425-0406

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