NDC codes

FDA NDC Directory
Product NDC (as listed)55289-092Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55289-0092Add 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
55289-092-0155289009201100 TABLET in 1 BOTTLE, PLASTIC (55289-092-01)Marketed from Jan 1, 2010
55289-092-02552890092022 TABLET in 1 BOTTLE, PLASTIC (55289-092-02)Marketed from Jan 1, 2010
55289-092-06552890092066 TABLET in 1 BOTTLE, PLASTIC (55289-092-06)Marketed from Jan 1, 2010
55289-092-105528900921010 TABLET in 1 BOTTLE, PLASTIC (55289-092-10)Marketed from Jan 1, 2010
55289-092-205528900922020 TABLET in 1 BOTTLE, PLASTIC (55289-092-20)Marketed from Jan 1, 2010
55289-092-255528900922525 TABLET in 1 BOTTLE, PLASTIC (55289-092-25)Marketed from Jan 1, 2010
55289-092-305528900923030 TABLET in 1 BOTTLE, PLASTIC (55289-092-30)Marketed from Jan 1, 2010
55289-092-405528900924040 TABLET in 1 BOTTLE, PLASTIC (55289-092-40)Marketed from Jan 1, 2010
55289-092-605528900926060 TABLET in 1 BOTTLE, PLASTIC (55289-092-60)Marketed from Jan 1, 2010
55289-092-905528900929090 TABLET in 1 BOTTLE, PLASTIC (55289-092-90)Marketed from Jan 1, 2010
55289-092-9855289009298120 TABLET in 1 BOTTLE, PLASTIC (55289-092-98)Marketed from Jan 1, 2010

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)
Diazepam
Generic name (nonproprietary)
diazepam
Active ingredients
Diazepam — 10 mg/1
Dosage form
Tablet
Route
Oral
Labeler
PD-Rx Pharmaceuticals, Inc.NDC labeler code 55289
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 070325
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Benzodiazepines (Chemical structure)
Identifiers
Product ID 55289-092_4199c273-a07c-ebb6-e063-6394a90a77a0SPL ID 4199c273-a07c-ebb6-e063-6394a90a77a0SPL set ID c2768add-5e01-4ff4-afa3-230380d59a1fRxCUI 197589UNII Q3JTX2Q7TUUPC 0355289092308
Pharmacologic class
Benzodiazepine

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

N455289009201 followed by a unit qualifier and the quantity

Package 55289-0092-01. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Diazepam tablets are indicated for the management of anxiety disorders or for the short-term relief of the symptoms of anxiety. Anxiety or tension associated with the stress of everyday life usually does not require treatment with an anxiolytic. In acute alcohol withdrawal, diazepam tablets may be useful in the symptomatic relief of acute agitation, tremor, impending or acute delirium tremens and hallucinosis. Diazepam tablets are a useful adjunct for the relief of skeletal muscle spasm due to reflex spasm to local pathology (such as inflammation of the muscles or joints, or secondary to trauma), spasticity caused by upper motor neuron disorders (such as cerebral palsy …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 55289-092

What is NDC 55289-092?
55289-092 is the product NDC for Diazepam, Diazepam 10 mg/1 tablet, listed with the FDA by PD-Rx Pharmaceuticals, Inc.. It has 11 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Diazepam.
What is the active ingredient?
Diazepam.
Who is the labeler?
PD-Rx Pharmaceuticals, Inc., NDC labeler code 55289. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Diazepam?
118 other product NDCs are listed under this name. See all Diazepam 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 Diazepam NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
DiazepamDiazepam 5 mg/mLInjectionIntramuscular, IntravenousCivica, Inc.72572-17572572-0175-10
DiazepamDiazepam 10 mg/2mLInjection, SolutionIntramuscular, IntravenousBaxter Healthcare Corporation43066-12143066-0121-10
DiazepamDiazepam 20 mg/4mLInjection, SolutionIntramuscular, IntravenousBaxter Healthcare Corporation43066-12343066-0123-10
DiazepamDiazepam 10 mg/2mLInjection, SolutionIntramuscular, IntravenousREMEDYREPACK INC.70518-470470518-4704-00
DiazepamDiazepam 5 mg/mLInjection, SolutionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0641-628300641-6283-25
DiazepamDiazepam 10 mg/1TabletOralUnit Dose Solutions, Inc.87441-02587441-0025-01
DiazepamDiazepam 5 mg/1TabletOralUnit Dose Solutions, Inc.87441-02687441-0026-01
DiazepamDiazepam 5 mg/1TabletOralCoupler LLC67046-094367046-0943-03
DiazepamDiazepam 10 mg/1TabletOralCoupler LLC67046-094467046-0944-03
DiazepamDiazepam 5 mg/mLInjectionIntramuscular, IntravenousHenry Schein, Inc.0404-976200404-9762-10

All 119 Diazepam NDCs

Other NDCs under ANDA 070325

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

FDA NDC Directory listings under ANDA 070325
ProductStrengthForm · routeLabelerProduct NDC
DiazepamDiazepam 2 mg/1TabletOralMylan Pharmaceuticals Inc.0378-0271
DiazepamDiazepam 10 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8462
DiazepamDiazepam 5 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8466
DiazepamDiazepam 5 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0496
DiazepamDiazepam 5 mg/1TabletOralMylan Pharmaceuticals Inc.0378-0345
DiazepamDiazepam 10 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0512
DiazepamDiazepam 2 mg/1TabletOralA-S Medication Solutions50090-3390
DiazepamDiazepam 5 mg/1TabletOralBryant Ranch Prepack71335-2239
DiazepamDiazepam 10 mg/1TabletOralUnit Dose Solutions, Inc.87441-025
DiazepamDiazepam 5 mg/1TabletOralUnit Dose Solutions, Inc.87441-026
DiazepamDiazepam 2 mg/1TabletOralBryant Ranch Prepack71335-2247
DiazepamDiazepam 10 mg/1TabletOralDirect_Rx72189-552
DiazepamDiazepam 10 mg/1TabletOralMylan Pharmaceuticals Inc.0378-0477
DiazepamDiazepam 5 mg/1TabletOralCardinal Health 107, LLC55154-5554
DiazepamDiazepam 10 mg/1TabletOralClinical Solutions Wholesale, LLC58118-4047
DiazepamDiazepam 2 mg/1TabletOralDirect_rx72189-570
DiazepamDiazepam 2 mg/1TabletOralSafecor Health, LLC48433-027
DiazepamDiazepam 5 mg/1TabletOralSafecor Health, LLC48433-028
DiazepamDiazepam 10 mg/1TabletOralSafecor Health, LLC48433-029
DiazepamDiazepam 10 mg/1TabletOralBryant Ranch Prepack71335-2306

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