NDC codes

FDA NDC Directory
Product NDC (as listed)55910-631Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0631Add 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
55910-631-12559100631121 BLISTER PACK in 1 CARTON (55910-631-12) / 12 TABLET in 1 BLISTER PACKMarketed from Oct 3, 2019
55910-631-24559100631241 BLISTER PACK in 1 CARTON (55910-631-24) / 24 TABLET in 1 BLISTER PACKMarketed from Mar 12, 2020

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)
Dollar General Maximum Strength Urinary Pain Relief
Generic name (nonproprietary)
phenazopyridine hydrochloride
Active ingredients
Phenazopyridine hydrochloride — 99.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 55910-631_b59f5392-2e6a-4f9e-b6d4-361afbc59affSPL ID b59f5392-2e6a-4f9e-b6d4-361afbc59affSPL set ID d0fe4f39-fba3-4bff-9852-5f756241a6c3RxCUI 1094147UNII 0EWG668W17UPC 0023513210254

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

N455910063112 followed by a unit qualifier and the quantity

Package 55910-0631-12. 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 Fast relief from urinary pain, burning, urgency and frequency associated with urinary tract infections.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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