NDC codes

FDA NDC Directory
Product NDC (as listed)68012-054Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68012-0054Add 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
68012-054-03680120054033 PACKET in 1 CARTON (68012-054-03) / 1 POWDER, FOR SUSPENSION in 1 PACKETMarketed from Jun 15, 2014

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)
Zegerid
Generic name (nonproprietary)
omeprazole and sodium bicarbonate
Active ingredients
Omeprazole — 40 mg/1Sodium bicarbonate — 1680 mg/1
Dosage form
Powder, For suspension
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021636
Marketing start
Listing expires
Other FDA classes
Alkalinizing Activity (Mechanism)Cytochrome P450 2C19 Inhibitors (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 68012-054_1d076bd0-8cc0-4327-8032-9a307fc89e71SPL ID 1d076bd0-8cc0-4327-8032-9a307fc89e71SPL set ID cd6868b9-5824-442b-8d65-4db29ecb70a4RxCUI 616539, 616541, 646344, 646352, 753557, 753562, 753601, 753603UNII 8MDF5V39QO, KG60484QX9UPC 0368012104308, 0368012102304
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

N468012005403 followed by a unit qualifier and the quantity

Package 68012-0054-03. 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)

ZEGERID for oral suspension and ZEGERID capsules are indicated in adults for the : • short-term treatment of active duodenal ulcer. Most patients heal within four weeks. Some patients may require an additional four weeks of therapy. • short-term treatment (4 to 8 weeks) of active benign gastric ulcer. • treatment of heartburn and other symptoms associated with GERD for up to 4 weeks. • short-term treatment (4 to 8 weeks) of EE due to acid-mediated GERD which has been diagnosed by endoscopy in adults. o The efficacy of ZEGERID used for longer than 8 weeks in patients with EE has not been established. If a patient does not respond to 8 weeks of treatment, an additional 4 weeks of treatment may…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021636

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

FDA NDC Directory listings under NDA 021636
ProductStrengthForm · routeLabelerProduct NDC
Zegeridomeprazole and sodium bicarbonateOmeprazole 20 mg/1; Sodium bicarbonate 1680 mg/1Powder, For suspensionOralSantarus, Inc..68012-052

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