Over-the-counter drug · NDA

omeprazole NDC 59779-503

Omeprazole 20 mg/1 · Tablet, Delayed release · Oral · CVS Pharmacy

NDC codes

FDA NDC Directory
Product NDC (as listed)59779-503Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59779-0503Add 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
59779-503-01597790503011 BOTTLE in 1 CARTON (59779-503-01) / 14 TABLET, DELAYED RELEASE in 1 BOTTLEMarketed from Feb 29, 2012
59779-503-03597790503033 BOTTLE in 1 CARTON (59779-503-03) / 14 TABLET, DELAYED RELEASE in 1 BOTTLEMarketed from Feb 28, 2012
59779-503-55597790503553 CARTON in 1 CARTON (59779-503-55) / 14 BLISTER PACK in 1 CARTON / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACKMarketed from Mar 5, 2008

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)
omeprazole
Generic name (nonproprietary)
omeprazole
Active ingredients
Omeprazole — 20 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
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 59779-503_2d9d60cd-6c79-4da7-9c48-ac1b73df9832SPL ID 2d9d60cd-6c79-4da7-9c48-ac1b73df9832SPL set ID fb3b1c3b-d486-4fa6-9ebf-ee1812ed2512RxCUI 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

N459779050301 followed by a unit qualifier and the quantity

Package 59779-0503-01. 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)

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
Good Sense OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralL. Perrigo Company0113-0915
foster and thrive omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralStrategic Sourcing Services LLC70677-1275
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralPadagis Israel Pharmaceuticals Ltd45802-888
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralHyVee Inc42507-414
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralWalgreen Company0363-0007
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralH E B37808-401
basic care omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralAmazon.com Services LLC72288-047
careone omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralRetail Business Services, LLC72476-473
Good Sense OmeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralL. Perrigo Company0113-1723
exchange select omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralArmy & Air Force Exchange Service55301-915
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralH E B59640-047
careone omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralAmerican Sales Company41520-802
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralRite Aid Corporation11822-0453
good sense omeprazole delayed releaseomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralL. Perrigo Company0113-1803
good now omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralGobrands, Inc82501-0915
kirkland signature omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralCostco Wholesale Company63981-915
foster and thrive omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralStrategic Sourcing Services LLC70677-1104
omeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralHyVee Inc42507-915
good neighbor pharmacy omeprazoleomeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralAmerisource Bergen46122-029
OmeprazoleOmeprazole 20 mg/1Tablet, Delayed releaseOralCVS Pharmacy59779-580

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