Prochlorperazine Maleate NDC 72789-517

NDC codes

FDA NDC Directory

Product NDC (as listed)72789-517Labeler and product segments. Claims need a package NDC.

Product NDC at billing width72789-0517Add 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
72789-517-01	72789051701	100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (72789-517-01)Marketed from Jul 28, 2025
72789-517-90	72789051790	90 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (72789-517-90)Marketed from Jul 28, 2025

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): Prochlorperazine Maleate
Generic name (nonproprietary): prochlorperazine maleate
Active ingredients: Prochlorperazine maleate — 5 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: PD-Rx Pharmaceuticals, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 218912
Marketing start: Jul 28, 2025
Listing expires: Dec 31, 2026
Other FDA classes: Phenothiazines (Chemical structure)
Identifiers: Product ID 72789-517_4603a67f-05af-5931-e063-6394a90afcf3SPL ID 4603a67f-05af-5931-e063-6394a90afcf3SPL set ID 3b022837-0fcc-d38a-e063-6394a90a0f7fRxCUI 198365, 312635UNII I1T8O1JTL6UPC 0372789517902
Pharmacologic class: Phenothiazine

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

N472789051701 followed by a unit qualifier and the quantity

Package 72789-0517-01. 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

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

Other NDCs under ANDA 218912

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

FDA NDC Directory listings under ANDA 218912
Product	Strength	Form · route	Labeler	Product NDC
Prochlorperazine Maleate	Prochlorperazine maleate 10 mg/1	Tablet, Film coatedOral	Leading Pharma, LLC	69315-266
Prochlorperazine Maleate	Prochlorperazine maleate 10 mg/1	Tablet, Film coatedOral	PD-Rx Pharmaceuticals, Inc.	72789-518
Prochlorperazine Maleate	Prochlorperazine maleate 5 mg/1	Tablet, Film coatedOral	Leading Pharma, LLC	69315-265