NDC codes

FDA NDC Directory
Product NDC (as listed)68016-807Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68016-0807Add 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
68016-807-04680160807041 BOTTLE in 1 CARTON (68016-807-04) / 118 mL in 1 BOTTLEMarketed from Apr 16, 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)
Premier Value Nausea Control Cherry FlavorSuffix: Cherry Flavor
Generic name (nonproprietary)
dextrose(glucose),levulose(fructose),phosphoric acid
Active ingredients
Dextrose, Unspecified form — 1.87 g/5mLFructose — 1.87 g/5mLPhosphoric acid — 21.5 mg/5mL
Dosage form
Solution
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 68016-807_eeb45790-8ef7-4d27-b114-dcd78215ff47SPL ID eeb45790-8ef7-4d27-b114-dcd78215ff47SPL set ID 8f000438-a9c3-45ca-8cb5-79151b2b3eadRxCUI 318146UNII IY9XDZ35W2, 6YSS42VSEV, E4GA8884NNUPC 0840986015069

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

N468016080704 followed by a unit qualifier and the quantity

Package 68016-0807-04. 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)

Uses ▪ For relief of upset stomach associated with nausea

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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