NDC codes

FDA NDC Directory
Product NDC (as listed)63629-2303Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-2303Add 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
63629-2303-1636292303011 BOTTLE, UNIT-DOSE in 1 CARTON (63629-2303-1) / 115 mL in 1 BOTTLE, UNIT-DOSEMarketed from Mar 6, 2015

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Hydrocodone Polistirex and Chlorpheniramine Polistirex extended-releaseSuffix: extended-release
Generic name (nonproprietary)
hydrocodone polistirex and chlorpheniramine polistirex
Active ingredients
Hydrocodone bitartrate — 10 mg/5mLChlorpheniramine maleate — 8 mg/5mL
Dosage form
Suspension, Extended release
Route
Oral
Labeler
Bryant Ranch PrepackNDC labeler code 63629
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091632
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)Opioid Agonists (Mechanism)
Identifiers
Product ID 63629-2303_44e02320-4dfa-4ebb-aa60-0bb4c094c103SPL ID 44e02320-4dfa-4ebb-aa60-0bb4c094c103SPL set ID e0010aac-2d7e-4dd3-8024-ff0c7f668b77RxCUI 1087459UNII NO70W886KK, V1Q0O9OJ9Z
Pharmacologic class
Histamine-1 Receptor Antagonist; Opioid Agonist

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

N463629230301 followed by a unit qualifier and the quantity

Package 63629-2303-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Hydrocodone Polistirex and Chlorpheniramine Polistirex Extended-Release Suspension is indicated for the temporary relief of cough and upper respiratory symptoms associated with allergy or the common cold in patients 18 years of age and older. Important Limitations of Use : • Not indicated for pediatric patients under 18 years of age [ see Use in Specific Populations (8.4 ) ]. • Contraindicated in pediatric patients less than 6 years of age [ see Contraindications (4) ]. • Because of the risks of addiction, abuse, and misuse with opioids, even at recommended doses [ see Warnings and Precautions (5.1) ], reserve Hydrocodone Polistirex and Chlorpheniramine Polistirex for use in adult patients f…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63629-2303

What is NDC 63629-2303?
63629-2303 is the product NDC for Hydrocodone Polistirex and Chlorpheniramine Polistirex extended-release, Hydrocodone bitartrate 10 mg/5mL; Chlorpheniramine maleate 8 mg/5mL suspension, extended release, listed with the FDA by Bryant Ranch Prepack. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Hydrocodone Polistirex and Chlorpheniramine Polistirex extended-release (Hydrocodone Polistirex and Chlorpheniramine Polistirex).
What is the active ingredient?
Hydrocodone bitartrate, Chlorpheniramine maleate.
Who is the labeler?
Bryant Ranch Prepack, NDC labeler code 63629. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Hydrocodone Polistirex and Chlorpheniramine Polistirex extended-release?
2 other product NDCs are listed under this name. See all Hydrocodone Polistirex and Chlorpheniramine Polistirex extended-release 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 Hydrocodone Polistirex and Chlorpheniramine Polistirex extended-release NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Hydrocodone Polistirex and Chlorpheniramine Polistirex extended-releasehydrocodone polistirex and chlorpheniramine polistirexHydrocodone bitartrate 10 mg/5mL; Chlorpheniramine maleate 8 mg/5mLSuspension, Extended releaseOralCranbury Pharmaceuticals, LLC27808-08627808-0086-0127808-0086-02
Hydrocodone Polistirex and Chlorpheniramine Polistirex extended-releasehydrocodone polistirex and chlorpheniramine polistirexHydrocodone bitartrate 10 mg/5mL; Chlorpheniramine maleate 8 mg/5mLSuspension, Extended releaseOralBryant Ranch Prepack63629-230463629-2304-01

Other NDCs under ANDA 091632

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

FDA NDC Directory listings under ANDA 091632
ProductStrengthForm · routeLabelerProduct NDC
Hydrocodone Polistirex and Chlorpheniramine Polistirex extended-releasehydrocodone polistirex and chlorpheniramine polistirexHydrocodone bitartrate 10 mg/5mL; Chlorpheniramine maleate 8 mg/5mLSuspension, Extended releaseOralCranbury Pharmaceuticals, LLC27808-086
Hydrocodone Polistirex and Chlorpheniramine Polistirex extended-releasehydrocodone polistirex and chlorpheniramine polistirexHydrocodone bitartrate 10 mg/5mL; Chlorpheniramine maleate 8 mg/5mLSuspension, Extended releaseOralBryant Ranch Prepack63629-2304

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