NDC codes

FDA NDC Directory
Product NDC (as listed)81520-250Labeler and product segments. Claims need a package NDC.
Product NDC at billing width81520-0250Add 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
81520-250-148152002501414 BLISTER PACK in 1 CARTON (81520-250-14) / 1 KIT in 1 BLISTER PACK (81520-250-01)Marketed from Nov 8, 2023

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)
Voquezna Dual Pak
Generic name (nonproprietary)
vonoprazan fumarate and amoxicillin
Dosage form
Kit
Labeler
Phathom Pharmaceuticals Inc.NDC labeler code 81520
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 215153
Marketing start
Listing expires
Identifiers
Product ID 81520-250_09164411-fd35-40b3-a208-ac9492cbc201SPL ID 09164411-fd35-40b3-a208-ac9492cbc201SPL set ID 0cb2ee04-8581-46c8-a781-7be170ab5c86RxCUI 197517, 308191, 2604800, 2604801, 2604802, 2604803, 2604804

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N481520025014 followed by a unit qualifier and the quantity

Package 81520-0250-14. 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)

VOQUEZNA TRIPLE PAK, is a co-packaged product containing vonoprazan, a potassium-competitive acid blocker (PCAB), amoxicillin, a penicillin class antibacterial, and clarithromycin, a macrolide antimicrobial, indicated for the treatment of Helicobacter pylori (H. pylori) infection in adults. ( 1.1 ) VOQUEZNA DUAL PAK, is a co-packaged product containing vonoprazan, a PCAB, and amoxicillin, a penicillin class antibacterial, indicated for the treatment of H. pylori infection in adults. ( 1.1 ) To reduce the development of drug-resistant bacteria and maintain the effectiveness of VOQUEZNA TRIPLE PAK, VOQUEZNA DUAL PAK and other antibacterial drugs, VOQUEZNA TRIPLE PAK and VOQUEZNA DUAL PAK shoul…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 81520-250

What is NDC 81520-250?
81520-250 is the product NDC for Voquezna Dual Pak kit, listed with the FDA by Phathom Pharmaceuticals Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Voquezna Dual Pak (Vonoprazan fumarate and amoxicillin).
Who is the labeler?
Phathom Pharmaceuticals Inc., NDC labeler code 81520. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Voquezna Dual Pak?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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