OLMESARTAN MEDOXOMIL and HYDROCHLOROTHIAZIDE NDC 72603-291

NDC codes

FDA NDC Directory

Product NDC (as listed)72603-291Labeler and product segments. Claims need a package NDC.

Product NDC at billing width72603-0291Add 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 NDC	11-digit (billing)	Package	Copy
72603-291-01	72603029101	30 TABLET, FILM COATED in 1 BOTTLE (72603-291-01)Marketed from Apr 8, 2024
72603-291-02	72603029102	90 TABLET, FILM COATED in 1 BOTTLE (72603-291-02)Marketed from Apr 8, 2024

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): OLMESARTAN MEDOXOMIL and HYDROCHLOROTHIAZIDE
Generic name (nonproprietary): olmesartan medoxomil and hydrochlorothiazide
Active ingredients: Olmesartan medoxomil — 40 mg/1Hydrochlorothiazide — 12.5 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: NorthStar RxLLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 204801
Marketing start: Apr 8, 2024
Listing expires: Dec 31, 2026
Other FDA classes: Angiotensin 2 Receptor Antagonists (Mechanism)Increased Diuresis (Physiologic effect)Thiazides (Chemical structure)
Identifiers: Product ID 72603-291_364af4fe-cde8-466f-b56f-d93d532b56f5SPL ID 364af4fe-cde8-466f-b56f-d93d532b56f5SPL set ID 364af4fe-cde8-466f-b56f-d93d532b56f5RxCUI 403853, 403854, 403855UNII 0J48LPH2TH, 6M97XTV3HDUPC 0372603292015, 0372603291018, 0372603291025, 0372603290011, 0372603292022
Pharmacologic class: Angiotensin 2 Receptor 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

N472603029101 followed by a unit qualifier and the quantity

Package 72603-0291-01. 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

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