NDC codes

FDA NDC Directory
Product NDC (as listed)69256-767Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69256-0767Add 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
69256-767-12692560767121 BLISTER PACK in 1 CARTON (69256-767-12) / 12 TABLET in 1 BLISTER PACKMarketed from Jan 9, 2020

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)
Harris Teeter Maximum Strength Urinary Pain Relief
Generic name (nonproprietary)
phenazopyridine hydrochloride
Active ingredients
Phenazopyridine hydrochloride — 99.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 69256-767_85248cc0-27f4-45ca-bb97-ed1ca1d93374SPL ID 85248cc0-27f4-45ca-bb97-ed1ca1d93374SPL set ID 92260ad8-4c18-4166-a153-563f751c0d61RxCUI 1094147UNII 0EWG668W17UPC 0072036984159

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

N469256076712 followed by a unit qualifier and the quantity

Package 69256-0767-12. 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)

Use Fast relief from urinary pain, burning, urgency and frequency associated with urinary tract infections.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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