Over-the-counter drug · NDA

dg health omeprazole (Omeprazole) NDC 55910-712

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

NDC codes

FDA NDC Directory
Product NDC (as listed)55910-712Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0712Add 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
55910-712-01559100712011 BOTTLE in 1 CARTON (55910-712-01) / 14 TABLET, DELAYED RELEASE in 1 BOTTLEMarketed from Jun 8, 2022
55910-712-03559100712033 BOTTLE in 1 CARTON (55910-712-03) / 14 TABLET, DELAYED RELEASE in 1 BOTTLEMarketed from Jun 8, 2022

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 55910-712_72620a9f-63f1-421d-825a-ac73e891cd08SPL ID 72620a9f-63f1-421d-825a-ac73e891cd08SPL set ID 6d19783d-2856-4a86-9f5c-6cc26b4ca33eRxCUI 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

N455910071201 followed by a unit qualifier and the quantity

Package 55910-0712-01. 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 55910-712

What is NDC 55910-712?
55910-712 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 2 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 Inc55910-21555910-0215-0155910-0215-0255910-0215-03
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
equaline omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralUnited Natural Foods, Inc. dba UNFI41163-915
TopCare OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralTopco Associates LLC36800-915
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralKroger Company30142-557
dg health omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralDolgencorp Inc55910-215
OmeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralCVS Pharmacy69842-661
basic care omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralAmazon.com Services LLC72288-401
OmeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralKroger Company30142-593
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralPublix Super Markets Inc56062-915
members mark omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralSam's West Inc68196-700
signature care omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralSafeway21130-401
members mark omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralSam's West Inc68196-915
Berkley and Jensen OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralBJWC68391-915
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralWalgreen Company0363-0007
good now omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralGobrands, Inc82501-0915
dg health omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralDolgencorp, LLC55910-915
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralPadagis Israel Pharmaceuticals Ltd45802-888
topcare omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralTopco Associates LLC76162-470
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralH E B37808-915
up and up omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralTarget Corporation11673-018
foster and thrive omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralStrategic Sourcing Services LLC70677-1275

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