NDC codes

FDA NDC Directory
Product NDC (as listed)72458-128Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72458-0128Add 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
72458-128-027245801280210 BLISTER PACK in 1 BAG (72458-128-02) / 21 TABLET in 1 BLISTER PACK (72458-128-01)Marketed from Dec 5, 1990
72458-128-047245801280410 BLISTER PACK in 1 BAG (72458-128-04) / 21 TABLET in 1 BLISTER PACK (72458-128-03)Marketed from Jul 14, 2017

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)
Pyridostigmine Bromide
Generic name (nonproprietary)
pyridostigmine bromide
Active ingredients
Pyridostigmine bromide — 30 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020414
Marketing start
Listing expires
Other FDA classes
Cholinesterase Inhibitors (Mechanism)
Identifiers
Product ID 72458-128_96f61532-26f7-4143-80f4-e62133499d21SPL ID 96f61532-26f7-4143-80f4-e62133499d21SPL set ID 0b296555-c32f-42db-b5f3-ea981a3dd2f8RxCUI 903841UNII KVI301NA53UPC 0372458128026
Pharmacologic class
Cholinesterase Inhibitor

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

N472458012802 followed by a unit qualifier and the quantity

Package 72458-0128-02. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Pyridostigmine bromide is indicated for pretreatment against the lethal effects of soman nerve agent poisoning in adults. Pyridostigmine bromide is intended for use in conjunction with protective garments, including a mask. At the first sign of nerve agent poisoning, pyridostigmine bromide should be stopped, and atropine and pralidoxime therapy started immediately. The evidence for the effectiveness of pyridostigmine bromide as pretreatment against soman-induced toxicity was derived from animal studies alone [see Clinical Studies (14) ] . FOR MILITARY MEDICAL USE ONLY Pyridostigmine bromide is a cholinesterase inhibitor indicated for pretreatment against the lethal effects of soman nerve age…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72458-128

What is NDC 72458-128?
72458-128 is the product NDC for Pyridostigmine Bromide, Pyridostigmine bromide 30 mg/1 tablet, listed with the FDA by Surgeon General-Department of the Army (TSG-DA). It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pyridostigmine Bromide.
What is the active ingredient?
Pyridostigmine bromide.
Who is the labeler?
Surgeon General-Department of the Army (TSG-DA), NDC labeler code 72458. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pyridostigmine Bromide?
17 other product NDCs are listed under this name. See all Pyridostigmine Bromide 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 Pyridostigmine Bromide NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Pyridostigmine bromidePyridostigmine bromide 105 mg/1Tablet, Extended releaseOralAmneal Pharmaceuticals LLC60846-55960846-0559-10
Pyridostigmine BromidePyridostigmine bromide 60 mg/1TabletOralMethod Pharmaceuticals, LLC58657-81158657-0811-0158657-0811-3058657-0811-90
Pyridostigmine BromidePyridostigmine bromide 60 mg/1TabletOralANI Pharmaceuticals, Inc.62559-47062559-0470-01
Pyridostigmine BromidePyridostigmine bromide 60 mg/5mLSolutionOralAcella Pharmaceuticals, LLC42192-62642192-0626-16
Pyridostigmine BromidePyridostigmine bromide 60 mg/5mLSolutionOralNovadoz Pharmaceuticals LLC72205-09872205-0098-72
Pyridostigmine BromidePyridostigmine bromide 30 mg/1TabletOralAmneal Pharmaceuticals of New York LLC0115-213400115-2134-01
Pyridostigmine BromidePyridostigmine bromide 60 mg/5mLSolutionOralAmneal Pharmaceuticals NY LLC69238-173169238-1731-02
Pyridostigmine BromidePyridostigmine bromide 60 mg/5mLSolutionOralVistaPharm, LLC66689-40666689-0406-10
Pyridostigmine BromidePyridostigmine bromide 30 mg/1TabletOralMethod Pharmaceuticals, LLC58657-81058657-0810-21
Pyridostigmine BromidePyridostigmine bromide 180 mg/1TabletOralRising Pharma Holdings, Inc.64980-22064980-0220-03

All 18 Pyridostigmine Bromide NDCs

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Pyridostigmine Bromide NDC 72458-128 | National Drug Code | Med-Code