NDC codes

FDA NDC Directory
Product NDC (as listed)55910-713Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0713Add 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
55910-713-3055910071330559100713302 CARTON in 1 CARTON (55910-713-30) / 14 BLISTER PACK in 1 CARTON / 1 TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE in 1 BLISTER PACKMarketed from Jun 28, 2018
55910-713-5555910071355559100713553 CARTON in 1 CARTON (55910-713-55) / 14 BLISTER PACK in 1 CARTON / 1 TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE in 1 BLISTER PACKMarketed from Mar 18, 2020
55910-713-74559100713745591007137414 BLISTER PACK in 1 CARTON (55910-713-74) / 1 TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE in 1 BLISTER PACKMarketed from Jun 26, 2018

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 omperazole
Generic name (nonproprietary)
omeprazole
Active ingredients
Omeprazole — 20 mg/1
Dosage form
Tablet, Orally disintegrating, Delayed release
Route
Oral
Labeler
Dolgencorp IncNDC labeler code 55910
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 209400
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C19 Inhibitors (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 55910-713_d1d7bb64-1c13-4d36-b761-01ac075da14aSPL ID d1d7bb64-1c13-4d36-b761-01ac075da14aSPL set ID 99fdfeed-6828-4bf6-bb81-cd29a4ec610bRxCUI 2003656UNII 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

N455910071330 followed by a unit qualifier and the quantity

Package 55910-0713-30. 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 55910-713

What is NDC 55910-713?
55910-713 is the product NDC for DG health omperazole (omeprazole), Omeprazole 20 mg/1 tablet, orally disintegrating, 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 omperazole (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 omperazole?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under NDA 209400

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

FDA NDC Directory listings under NDA 209400
ProductStrengthForm · routeLabelerProduct NDC
Basic Care OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-123
berkley and jensen omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralBJWC68391-103
careone omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmerican Sales Company41520-939
equaline omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralUnited Natural Foods, Inc. dba UNFI41163-634
good neighbor pharmacy omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmerisource Bergen46122-616
good sense omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralL. Perrigo Company0113-0520
Leader OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralCardinal Health 110, LLC. dba Leader70000-0381
omeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralWalgreen Company0363-1819
omeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralKroger Company30142-394
omeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralH E B37808-354
OmeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralMeijer Distribution Inc41250-349
omeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralHyVee Inc42507-164
OmeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralCVS Pharmacy69842-791
OmeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralAmazon.com Services LLC72288-666
Signature Care OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralSafeway21130-128
topcare omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralTopco Associates LLC36800-601
up and up omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Orally disintegrating, Delayed releaseOralTarget Corporation11673-212

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