NDC codes

FDA NDC Directory
Product NDC (as listed)71335-2187Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71335-2187Add 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
71335-2187-17133521870120 CAPSULE in 1 BOTTLE (71335-2187-1)Marketed from Nov 7, 2022
71335-2187-27133521870230 CAPSULE in 1 BOTTLE (71335-2187-2)Marketed from Nov 7, 2022
71335-2187-371335218703100 CAPSULE in 1 BOTTLE (71335-2187-3)Marketed from Nov 7, 2022
71335-2187-47133521870410 CAPSULE in 1 BOTTLE (71335-2187-4)Marketed from Nov 7, 2022
71335-2187-57133521870515 CAPSULE in 1 BOTTLE (71335-2187-5)Marketed from Nov 7, 2022
71335-2187-67133521870660 CAPSULE in 1 BOTTLE (71335-2187-6)Marketed from Nov 7, 2022
71335-2187-77133521870790 CAPSULE in 1 BOTTLE (71335-2187-7)Marketed from Nov 7, 2022
71335-2187-871335218708120 CAPSULE in 1 BOTTLE (71335-2187-8)Marketed from Nov 7, 2022
71335-2187-97133521870942 CAPSULE in 1 BOTTLE (71335-2187-9)Marketed from Nov 7, 2022

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Hydroxyzine Pamoate
Generic name (nonproprietary)
hydroxyzine pamoate
Active ingredients
Hydroxyzine pamoate — 25 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 088496
Marketing start
Listing expires
Other FDA classes
Histamine Receptor Antagonists (Mechanism)
Identifiers
Product ID 71335-2187_c0538532-e7e9-475c-8598-f88bc06b1779SPL ID c0538532-e7e9-475c-8598-f88bc06b1779SPL set ID ea1c7326-52ea-4934-844c-892d868042cfRxCUI 995253UNII M20215MUFR
Pharmacologic class
Antihistamine

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

N471335218701 followed by a unit qualifier and the quantity

Package 71335-2187-01. 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)

INDICATIONS AND USAGE For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested. Useful in the management of pruritus due to allergic conditions such as chronic urticaria and atopic and contact dermatoses, and in histamine-mediated pruritus. As a sedative when used as premedication and following general anesthesia, hydroxyzine may potentiate meperidine (Demerol ® ) and barbiturates , so their use in pre-anesthetic adjunctive therapy should be modified on an individual basis. Atropine and other belladonna alkaloids are not affected by the drug. Hydroxyzine is not known to interfere with the action of…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 088496

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

FDA NDC Directory listings under ANDA 088496
ProductStrengthForm · routeLabelerProduct NDC
Hydroxyzine PamoateHydroxyzine pamoate 25 mg/1CapsuleOralAsclemed USA, Inc.76420-920
Hydroxyzine PamoateHydroxyzine pamoate 25 mg/1CapsuleOralTeva Pharmaceuticals USA, Inc.0555-0323
Hydroxyzine PamoateHydroxyzine pamoate 25 mg/1CapsuleOralAmerican Health Packaging60687-696
Hydroxyzine PamoateHydroxyzine pamoate 25 mg/1CapsuleOralProficient Rx LP71205-483

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