DG health omperazole (omeprazole) NDC 55910-713

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 NDC	11-digit (billing)	Package
55910-713-30	55910071330	2 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
55910-713-55	55910071355	3 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
55910-713-74	55910071374	14 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 Inc
Product type: Over-the-counter drug
Marketing category: NDA — New Drug ApplicationApplication NDA 209400
Marketing start: Jun 26, 2018
Listing expires: Dec 31, 2026
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

Label details couldn’t be retrieved right now. Open the label on DailyMed.