NDC codes

FDA NDC Directory
Product NDC (as listed)76420-883Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76420-0883Add 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
76420-883-0176420088301100 TABLET in 1 BOTTLE (76420-883-01)Marketed from Dec 17, 2024
76420-883-0576420088305500 TABLET in 1 BOTTLE (76420-883-05)Marketed from Dec 17, 2024
76420-883-10764200883101000 TABLET in 1 BOTTLE (76420-883-10)Marketed from Dec 17, 2024
76420-883-307642008833030 TABLET in 1 BOTTLE (76420-883-30)Marketed from Dec 17, 2024
76420-883-607642008836060 TABLET in 1 BOTTLE (76420-883-60)Marketed from Dec 17, 2024
76420-883-907642008839090 TABLET in 1 BOTTLE (76420-883-90)Marketed from Dec 17, 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)
Hydroxyzine hydrochloride
Generic name (nonproprietary)
hydroxyzine hydrochloride
Active ingredients
Hydroxyzine dihydrochloride — 50 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204279
Marketing start
Listing expires
Other FDA classes
Histamine Receptor Antagonists (Mechanism)
Identifiers
Product ID 76420-883_2979cc3d-941b-4936-e063-6394a90ab8f8SPL ID 2979cc3d-941b-4936-e063-6394a90ab8f8SPL set ID 4f3266f4-00a6-4c0c-bff2-e606913de894RxCUI 995218, 995258, 995281UNII 76755771U3
Pharmacologic class
Antihistamine

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

N476420088301 followed by a unit qualifier and the quantity

Package 76420-0883-01. 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 204279

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

FDA NDC Directory listings under ANDA 204279
ProductStrengthForm · routeLabelerProduct NDC
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralMedsource Pharmaceuticals45865-675
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralA-S Medication Solutions50090-5297
Hydroxyzine hydrochlorideHydroxyzine hydrochloride 50 mg/1TabletOralMajor Pharmaceuticals0904-7379
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralGolden State Medical Supply, Inc.51407-970
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 10 mg/1TabletOralGolden State Medical Supply, Inc.51407-969
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralREMEDYREPACK INC.70518-0487
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralGolden State Medical Supply, Inc.51407-971
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 10 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8563
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8564
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralNorthwind Health Company, LLC51655-080
Hydroxyzine hydrochlorideHydroxyzine hydrochloride 50 mg/1TabletOralUnit Dose Solutions, Inc.87441-039
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralProficient Rx LP63187-733
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralNorthwind Health Company, LLC51655-119
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-844
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralProficient Rx LP63187-354
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 50 mg/1TabletOralChartwell RX, LLC62135-575
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 10 mg/1TabletOralChartwell RX, LLC62135-573
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 50 mg/1Tablet, Film coatedOralBryant Ranch Prepack63629-4929
Hydroxyzine HydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralChartwell RX, LLC62135-574
Hydroxyzine hydrochlorideHydroxyzine dihydrochloride 25 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-851

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