NDC codes

FDA NDC Directory
Product NDC (as listed)76420-813Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76420-0813Add 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
76420-813-00764200813001000 CAPSULE in 1 BOTTLE (76420-813-00)Marketed from May 7, 2024
76420-813-0176420081301100 CAPSULE in 1 BOTTLE (76420-813-01)Marketed from May 7, 2024
76420-813-0576420081305500 CAPSULE in 1 BOTTLE (76420-813-05)Marketed from May 7, 2024
76420-813-107642008131010 CAPSULE in 1 BOTTLE (76420-813-10)Marketed from May 7, 2024
76420-813-147642008131414 CAPSULE in 1 BOTTLE (76420-813-14)Marketed from Feb 10, 2025
76420-813-207642008132020 CAPSULE in 1 BOTTLE (76420-813-20)Marketed from Mar 18, 2025
76420-813-287642008132828 CAPSULE in 1 BOTTLE (76420-813-28)Marketed from May 31, 2025
76420-813-307642008133030 CAPSULE in 1 BOTTLE (76420-813-30)Marketed from May 7, 2024
76420-813-507642008135050 CAPSULE in 1 BOTTLE (76420-813-50)Marketed from May 7, 2024
76420-813-607642008136060 CAPSULE in 1 BOTTLE (76420-813-60)Marketed from May 7, 2024
76420-813-907642008139090 CAPSULE in 1 BOTTLE (76420-813-90)Marketed from May 7, 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)
Doxycycline hyclate
Generic name (nonproprietary)
doxycycline hyclate
Active ingredients
Doxycycline hyclate — 100 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207774
Marketing start
Listing expires
Other FDA classes
Tetracyclines (Chemical structure)
Identifiers
Product ID 76420-813_366a864f-98c6-7cf2-e063-6294a90a0268SPL ID 366a864f-98c6-7cf2-e063-6294a90a0268SPL set ID bed39bae-64c2-44b4-9c95-682ead4e6738RxCUI 1649405, 1649988UNII 19XTS3T51U
Pharmacologic class
Tetracycline-class Drug

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

N476420081300 followed by a unit qualifier and the quantity

Package 76420-0813-00. 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)

INDICATIONS AND USAGE To reduce the development of drug-resistant bacteria and maintain effectiveness of doxycycline hyclate and other antibacterial drugs, doxycycline hyclate capsules should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy. Treatment Doxycycline is indicated for the treatment of the following infections: Rocky Mountain spotted fever, typhus fever a…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 207774

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

FDA NDC Directory listings under ANDA 207774
ProductStrengthForm · routeLabelerProduct NDC
Doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralREMEDYREPACK INC.70518-4150
Doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralViona Pharmaceuticals Inc72578-054
Doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralViona Pharmaceuticals Inc72578-055
Doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralBryant Ranch Prepack71335-2086
Doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralSportpharm LLC85766-033
Doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralProficient Rx LP82804-179
Doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralBryant Ranch Prepack71335-2179
Doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralZydus Lifesciences Limited70771-1358
Doxycycline hyclateDoxycycline hyclate 100 mg/1CapsuleOralZydus Lifesciences Limited70771-1359
Doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralAsclemed USA, Inc.76420-814
Doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralA-S Medication Solutions50090-6212
Doxycycline hyclateDoxycycline hyclate 50 mg/1CapsuleOralProficient Rx LP82804-316

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