NDC codes

FDA NDC Directory
Product NDC (as listed)67457-640Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67457-0640Add 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
67457-640-026745706400225 VIAL in 1 CARTON (67457-640-02) / 2 mL in 1 VIAL (67457-640-00)Marketed from Apr 3, 2019
67457-640-996745706409910 VIAL in 1 CARTON (67457-640-99) / 2 mL in 1 VIAL (67457-640-00)Marketed from Apr 3, 2019

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)
prochlorperazine edisylate
Generic name (nonproprietary)
prochlorperazine edisylate
Active ingredients
Prochlorperazine edisylate — 5 mg/mL
Dosage form
Injection
Route
Intramuscular, Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210710
Marketing start
Listing expires
Other FDA classes
Phenothiazines (Chemical structure)
Identifiers
Product ID 67457-640_c2a1e04b-1654-456c-a66d-8ee1f877b034SPL ID c2a1e04b-1654-456c-a66d-8ee1f877b034SPL set ID 185c1647-06ea-401e-ad1d-8727d77eb827RxCUI 314192UNII PG20W5VQZS
Pharmacologic class
Phenothiazine

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N467457064002 followed by a unit qualifier and the quantity

Package 67457-0640-02. 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.

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