NDC codes

FDA NDC Directory
Product NDC (as listed)72789-224Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72789-0224Add 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
72789-224-0172789022401100 TABLET, COATED in 1 BOTTLE, PLASTIC (72789-224-01)Marketed from Feb 10, 2022

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)
Amoxicillin
Generic name (nonproprietary)
amoxicillin
Active ingredients
Amoxicillin — 875 mg/1
Dosage form
Tablet, Coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 065255
Marketing start
Listing expires
Other FDA classes
Penicillins (Chemical structure)
Identifiers
Product ID 72789-224_40ad11b9-8246-8d3f-e063-6294a90a26ebSPL ID 40ad11b9-8246-8d3f-e063-6294a90a26ebSPL set ID b397d4be-d2ef-419a-98ac-844069c99d56RxCUI 308194UNII 804826J2HUUPC 0372789224015

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

N472789022401 followed by a unit qualifier and the quantity

Package 72789-0224-01. 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)

Adults and Pediatric Patients Upper Respiratory Tract Infections of the Ear, Nose, and Throat: Amoxicillin tablets are indicated in the treatment of infections due to susceptible (ONLY β-lactamase–negative) isolates of Streptococcus species. (α-and β-hemolytic isolates only), Streptococcus pneumoniae , Staphylococcus spp., or Haemophilus influenzae . Infections of the Genitourinary Tract: Amoxicillin tablets are indicated in the treatment of infections due to susceptible (ONLY β-lactamase–negative) isolates of Escherichia coli , Proteus mirabilis , or Enterococcus faecalis . Infections of the Skin and Skin Structure: Amoxicillin tablets are indicated in the treatment of infections due to sus…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 065255

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

FDA NDC Directory listings under ANDA 065255
ProductStrengthForm · routeLabelerProduct NDC
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralA-S Medication Solutions50090-5863
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralA-S Medication Solutions50090-5880
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralHikma Pharmaceuticals USA Inc.0143-9285
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralProficient Rx LP82804-200
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralNuCare Pharmaceuticals, Inc.68071-3716
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralPreferred Pharmaceuticals Inc.68788-4062
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralPD-Rx Pharmaceuticals, Inc.43063-885
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralRedpharm Drug67296-2328
AmoxicillinAmoxicillin 875 mg/1Tablet, CoatedOralAsclemed USA, Inc.76420-138

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