NDC codes

FDA NDC Directory
Product NDC (as listed)67877-451Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0451Add 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
67877-451-306787704513030 TABLET, FILM COATED in 1 BOTTLE (67877-451-30)Marketed from May 1, 2025
67877-451-906787704519090 TABLET, FILM COATED in 1 BOTTLE (67877-451-90)Marketed from May 1, 2025

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)
Olmesartan Medoxomil And Hydrochlorothiazide
Generic name (nonproprietary)
olmesartan medoxomil and hydrochlorothiazide
Active ingredients
Olmesartan medoxomil — 40 mg/1Hydrochlorothiazide — 25 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207037
Marketing start
Listing expires
Other FDA classes
Angiotensin 2 Receptor Antagonists (Mechanism)Increased Diuresis (Physiologic effect)Thiazides (Chemical structure)
Identifiers
Product ID 67877-451_ffb1336b-75c4-483d-85d9-17b78237e915SPL ID ffb1336b-75c4-483d-85d9-17b78237e915SPL set ID 798fee33-51ad-45d0-82f3-09289304139fRxCUI 403853, 403854, 403855UNII 0J48LPH2TH, 6M97XTV3HDUPC 0367877451305
Pharmacologic class
Angiotensin 2 Receptor Blocker; Thiazide Diuretic

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

N467877045130 followed by a unit qualifier and the quantity

Package 67877-0451-30. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Olmesartan medoxomil and hydrochlorothiazide tablet is indicated for the treatment of hypertension, to lower blood pressure [see Dosage and Administration ( 2 )] . Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular (CV) events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes including the class to which this drug principally belongs. There are no controlled trials demonstrating risk reduction with olmesartan medoxomil and hydrochlorothiazide tablet. Control of high blood pressure should be part of comprehensive cardiovascular risk management, incl…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 207037

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

FDA NDC Directory listings under ANDA 207037
ProductStrengthForm · routeLabelerProduct NDC
Olmesartan Medoxomil And HydrochlorothiazideOlmesartan medoxomil 40 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-4577
Olmesartan Medoxomil And HydrochlorothiazideOlmesartan medoxomil 40 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralAscend Laboratories, LLC67877-452
Olmesartan Medoxomil And HydrochlorothiazideOlmesartan medoxomil 20 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralAscend Laboratories, LLC67877-453

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