NDC codes

FDA NDC Directory
Product NDC (as listed)71610-747Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71610-0747Add 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
71610-747-307161007473030 CAPSULE in 1 BOTTLE (71610-747-30)Marketed from Nov 2, 2023
71610-747-537161007475360 CAPSULE in 1 BOTTLE (71610-747-53)Marketed from Nov 2, 2023
71610-747-607161007476090 CAPSULE in 1 BOTTLE (71610-747-60)Marketed from Nov 15, 2023
71610-747-7071610074770120 CAPSULE in 1 BOTTLE (71610-747-70)Marketed from Nov 2, 2023
71610-747-8071610074780180 CAPSULE in 1 BOTTLE (71610-747-80)Marketed from Nov 2, 2023

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)
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 087479
Marketing start
Listing expires
Other FDA classes
Histamine Receptor Antagonists (Mechanism)
Identifiers
Product ID 71610-747_04ca77ea-a8b9-43aa-a4d4-89dbd1bdc0c2SPL ID 04ca77ea-a8b9-43aa-a4d4-89dbd1bdc0c2SPL set ID c29f005e-ae75-415d-9fd6-591f074dcda5RxCUI 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

N471610074730 followed by a unit qualifier and the quantity

Package 71610-0747-30. 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 .

Indications (excerpt from the label)

INDICATIONS 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 digitalis …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 087479

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

FDA NDC Directory listings under ANDA 087479
ProductStrengthForm · routeLabelerProduct NDC
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralCoupler LLC67046-0281
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralPreferred Pharmaceuticals Inc.68788-8119
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralUnit Dose Solutions, Inc.87441-040
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralPharmasource Meds, LLC82982-032
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralNuCare Pharmaceuticals,Inc.68071-2255
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralPD-Rx Pharmaceuticals, Inc.43063-172
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralSandoz Inc0185-0674
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralUnit Dose Solutions, Inc.87441-087
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralPD-Rx Pharmaceuticals, Inc.43063-406
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralBryant Ranch Prepack72162-1054
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralNuCare Pharmaceutcals, Inc.68071-3736
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralBryant Ranch Prepack71335-2751
Hydroxyzine PamoateHydroxyzine pamoate 25 mg/1CapsuleOralDirect_Rx61919-880
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralBryant Ranch Prepack63629-8874
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralREMEDYREPACK INC.70518-1504
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralBryant Ranch Prepack71335-3003
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralNorthwind Health Company, LLC51655-847
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralBryant Ranch Prepack71335-1714
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralProficient Rx LP71205-558
hydroxyzine pamoateHydroxyzine pamoate 25 mg/1CapsuleOralREMEDYREPACK INC.70518-0209

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