Prescription drug · ANDA

olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide NDC 72162-1514

Olmesartan medoxomil 20 mg/1 + 2 more ingredients · Tablet, Film coated · Oral · Bryant Ranch Prepack

NDC codes

FDA NDC Directory
Product NDC (as listed)72162-1514Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72162-1514Add 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
72162-1514-3721621514037216215140330 TABLET, FILM COATED in 1 BOTTLE (72162-1514-3)Marketed from Oct 6, 2023
72162-1514-9721621514097216215140990 TABLET, FILM COATED in 1 BOTTLE (72162-1514-9)Marketed from Oct 6, 2023

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

Generic name (nonproprietary)
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide
Active ingredients
Olmesartan medoxomil — 20 mg/1Amlodipine besylate — 5 mg/1Hydrochlorothiazide — 12.5 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Bryant Ranch PrepackNDC labeler code 72162
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206137
Marketing start
Listing expires
Other FDA classes
Angiotensin 2 Receptor Antagonists (Mechanism)Calcium Channel Antagonists (Mechanism)Cytochrome P450 3A Inhibitors (Mechanism)Dihydropyridines (Chemical structure)Increased Diuresis (Physiologic effect)Thiazides (Chemical structure)
Identifiers
Product ID 72162-1514_5785cd86-1317-465c-a6ff-45f65cb8c8f8SPL ID 5785cd86-1317-465c-a6ff-45f65cb8c8f8SPL set ID b404a550-0df4-404a-8d10-c35e197ca399RxCUI 999967UNII 6M97XTV3HD, 864V2Q084H, 0J48LPH2TH
Pharmacologic class
Angiotensin 2 Receptor Blocker; Calcium Channel Blocker; Dihydropyridine Calcium Channel Blocker; Thiazide Diuretic

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

N472162151403 followed by a unit qualifier and the quantity

Package 72162-1514-03. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

About NDC 72162-1514

What is NDC 72162-1514?
72162-1514 is the product NDC for olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide, Olmesartan medoxomil 20 mg/1 + 2 more ingredients tablet, film coated, listed with the FDA by Bryant Ranch Prepack. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide.
What is the active ingredient?
Olmesartan medoxomil, Amlodipine besylate, Hydrochlorothiazide.
Who is the labeler?
Bryant Ranch Prepack, NDC labeler code 72162. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide?
12 other product NDCs are listed under this name. See all olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralREMEDYREPACK INC.70518-416570518-4165-00
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 20 mg/1 + 2 more ingredientsTablet, Film coatedOralPar Health USA, LLC49884-78649884-0786-0949884-0786-11
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralPar Health USA, LLC49884-78749884-0787-0949884-0787-11
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralPar Health USA, LLC49884-78849884-0788-0949884-0788-11
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralPar Health USA, LLC49884-78949884-0789-0949884-0789-11
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralPar Health USA, LLC49884-79049884-0790-0949884-0790-11
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 20 mg/1 + 2 more ingredientsTablet, Film coatedOralBryant Ranch Prepack63629-223863629-2238-01
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 20 mg/1 + 2 more ingredientsTablet, Film coatedOralBryant Ranch Prepack63629-223963629-2239-01
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralBryant Ranch Prepack63629-224063629-2240-01
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralBryant Ranch Prepack63629-224163629-2241-01

All 13 olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide NDCs

Other NDCs under ANDA 206137

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

FDA NDC Directory listings under ANDA 206137
ProductStrengthForm · routeLabelerProduct NDC
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralBryant Ranch Prepack72162-1515
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralBryant Ranch Prepack72162-1516
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralREMEDYREPACK INC.70518-4165
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralPar Health USA, LLC49884-787
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 20 mg/1 + 2 more ingredientsTablet, Film coatedOralPar Health USA, LLC49884-786
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralPar Health USA, LLC49884-788
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralPar Health USA, LLC49884-789
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralPar Health USA, LLC49884-790
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralBryant Ranch Prepack63629-2241
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 20 mg/1 + 2 more ingredientsTablet, Film coatedOralBryant Ranch Prepack63629-2238
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 20 mg/1 + 2 more ingredientsTablet, Film coatedOralBryant Ranch Prepack63629-2239
olmesartan medoxomil / amlodipine besylate / hydrochlorothiazideOlmesartan medoxomil 40 mg/1 + 2 more ingredientsTablet, Film coatedOralBryant Ranch Prepack63629-2240

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