Over-the-counter drug · NDA

dg health omeprazole (Omeprazole) NDC 55910-215

Omeprazole 20 mg/1 · Tablet, Delayed release · Oral · Dolgencorp Inc

NDC codes

FDA NDC Directory
Product NDC (as listed)55910-215Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0215Add 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
55910-215-01559100215011 BOTTLE in 1 CARTON (55910-215-01) / 14 TABLET, DELAYED RELEASE in 1 BOTTLEMarketed from Jul 10, 2020
55910-215-02559100215022 BOTTLE in 1 CARTON (55910-215-02) / 14 TABLET, DELAYED RELEASE in 1 BOTTLEMarketed from May 13, 2021
55910-215-03559100215033 BOTTLE in 1 CARTON (55910-215-03) / 14 TABLET, DELAYED RELEASE in 1 BOTTLEMarketed from May 13, 2021

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)
dg health omeprazole
Generic name (nonproprietary)
omeprazole
Active ingredients
Omeprazole — 20 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Labeler
Dolgencorp IncNDC labeler code 55910
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022032
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C19 Inhibitors (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 55910-215_fe39c1c0-3f79-418f-88c7-e4f40619b77eSPL ID fe39c1c0-3f79-418f-88c7-e4f40619b77eSPL set ID 3c34fa4b-be9f-4aa6-ab6b-775b528a8949RxCUI 402014UNII KG60484QX9
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

N455910021501 followed by a unit qualifier and the quantity

Package 55910-0215-01. 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 .

Indications (excerpt from the label)

Use • treats frequent heartburn (occurs 2 or more days a week) • not intended for immediate relief of heartburn; this drug may take 1 to 4 days for full effect

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 55910-215

What is NDC 55910-215?
55910-215 is the product NDC for dg health omeprazole (omeprazole), Omeprazole 20 mg/1 tablet, delayed release, listed with the FDA by Dolgencorp Inc. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
dg health omeprazole (Omeprazole).
What is the active ingredient?
Omeprazole.
Who is the labeler?
Dolgencorp Inc, NDC labeler code 55910. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for dg health omeprazole?
2 other product NDCs are listed under this name. See all dg health omeprazole 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 dg health omeprazole NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
dg health omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralDolgencorp Inc55910-71255910-0712-0155910-0712-03
dg health omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralDolgencorp, LLC55910-91555910-0915-0255910-0915-0355910-0915-74

Other NDCs under NDA 022032

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

FDA NDC Directory listings under NDA 022032
ProductStrengthForm · routeLabelerProduct NDC
care one omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralAmerican Sales Company41520-915
exchange select omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralArmy & Air Force Exchange Service55301-915
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralH E B37808-401
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralH E B59640-047
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralCVS Pharmacy59779-503
kirkland signature omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralCostco Wholesale Company63981-915
careone omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralAmerican Sales Company41520-802
up and up omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralTarget Corporation11673-346
equate omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralWALMART INC.79903-113
OmeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralCVS Pharmacy59779-580
good neighbor pharmacy omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralAmerisource Bergen46122-029
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralHyVee Inc42507-915
equate omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralWal-Mart Stores Inc49035-119
good neighbor pharmacy omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralAmerisource Bergen46122-281
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralPublix Super Markets Inc56062-401
basic care omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralAmazon.com Services LLC72288-915
24 hr omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralMeijer, Inc.79481-0075
TopCare Omeprazole delayed releaseomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralTopco Associates LLC36800-121
dg health omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralDolgencorp Inc55910-712
OmeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralAmazon.com Services LLC72288-934

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