NDC codes

FDA NDC Directory
Product NDC (as listed)55289-150Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55289-0150Add 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
55289-150-105528901501010 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (55289-150-10)Marketed from Mar 31, 2011
55289-150-155528901501515 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (55289-150-15)Marketed from Mar 31, 2011
55289-150-205528901502020 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (55289-150-20)Marketed from Mar 31, 2011
55289-150-285528901502828 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (55289-150-28)Marketed from Mar 31, 2011
55289-150-305528901503030 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (55289-150-30)Marketed from Mar 31, 2011
55289-150-605528901506060 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (55289-150-60)Marketed from Mar 31, 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)
Diclofenac Sodium
Generic name (nonproprietary)
diclofenac sodium
Active ingredients
Diclofenac sodium — 75 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 074514
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Decreased Prostaglandin Production (Physiologic effect)
Identifiers
Product ID 55289-150_3466672c-1212-3459-e063-6294a90a1288SPL ID 3466672c-1212-3459-e063-6294a90a1288SPL set ID 87d5a720-f154-4c4b-b2d4-0ae58455dda0RxCUI 855926UNII QTG126297QUPC 0355289150305

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

N455289015010 followed by a unit qualifier and the quantity

Package 55289-0150-10. 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 Carefully consider the potential benefits and risks of diclofenac sodium delayed-release tablets and other treatment options before deciding to use diclofenac sodium delayed-release tablets. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals (see WARNINGS; Gastrointestinal Bleeding, Ulceration, and Perforation ) . Diclofenac sodium delayed-release tablets are indicated: for relief of the signs and symptoms of osteoarthritis for relief of the signs and symptoms of rheumatoid arthritis for acute or long-term use in the relief of signs and symptoms of ankylosing spondylitis

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 074514

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

FDA NDC Directory listings under ANDA 074514
ProductStrengthForm · routeLabelerProduct NDC
Diclofenac SodiumDiclofenac sodium 50 mg/1Tablet, Delayed releaseOralA-S Medication Solutions50090-0538
Diclofenac SodiumDiclofenac sodium 50 mg/1Tablet, Delayed releaseOralA-S Medication Solutions50090-0539
Diclofenac SodiumDiclofenac sodium 50 mg/1Tablet, Delayed releaseOralAphena Pharma Solutions - Tennessee, LLC71610-068
Diclofenac SodiumDiclofenac sodium 50 mg/1Tablet, Delayed releaseOralGolden State Medical Supply, Inc.60429-421
Diclofenac SodiumDiclofenac sodium 75 mg/1Tablet, Delayed releaseOralProficient Rx LP63187-761
Diclofenac SodiumDiclofenac sodium 75 mg/1Tablet, Delayed releaseOralGolden State Medical Supply, Inc.60429-422
Diclofenac SodiumDiclofenac sodium 50 mg/1Tablet, Delayed releaseOralActavis Pharma, Inc.0228-2550
Diclofenac SodiumDiclofenac sodium 50 mg/1Tablet, Delayed releaseOralPD-Rx Pharmaceuticals, Inc.43063-467
Diclofenac SodiumDiclofenac sodium 75 mg/1Tablet, Delayed releaseOralActavis Pharma, Inc.0228-2551
Diclofenac SodiumDiclofenac sodium 50 mg/1Tablet, Delayed releaseOralProficient Rx LP63187-522

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