NDC codes

FDA NDC Directory
Product NDC (as listed)81964-204Labeler and product segments. Claims need a package NDC.
Product NDC at billing width81964-0204Add 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
81964-204-07819640204078196402040775 mL in 1 BOTTLE (81964-204-07)Marketed from Dec 5, 2022
81964-204-108196402041081964020410100 mL in 1 BOTTLE (81964-204-10)Marketed from Dec 5, 2022
81964-204-158196402041581964020415150 mL in 1 BOTTLE (81964-204-15)Marketed from Dec 5, 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

Generic name (nonproprietary)
amoxicillin and clavulanate potassium
Active ingredients
Amoxicillin — 250 mg/5mLClavulanate potassium — 62.5 mg/5mL
Dosage form
For suspension
Route
Oral
Labeler
USAntibiotics, LLCNDC labeler code 81964
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 050575
Marketing start
Listing expires
Other FDA classes
Penicillins (Chemical structure)beta Lactamase Inhibitors (Mechanism)
Identifiers
Product ID 81964-204_5bba212f-9bf8-29b5-e063-6394a90a8cd2SPL ID 5bba212f-9bf8-29b5-e063-6394a90a8cd2
Pharmacologic class
Penicillin-class Antibacterial; beta Lactamase Inhibitor

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

N481964020407 followed by a unit qualifier and the quantity

Package 81964-0204-07. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 81964-204

What is NDC 81964-204?
81964-204 is the product NDC for Amoxicillin And Clavulanate Potassium, Amoxicillin 250 mg/5mL; Clavulanate potassium 62.5 mg/5mL for suspension, listed with the FDA by USAntibiotics, LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Amoxicillin And Clavulanate Potassium.
What is the active ingredient?
Amoxicillin, Clavulanate potassium.
Who is the labeler?
USAntibiotics, LLC, NDC labeler code 81964. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Amoxicillin And Clavulanate Potassium?
200 other product NDCs are listed under this name. See all Amoxicillin And Clavulanate Potassium NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Amoxicillin And Clavulanate Potassium NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Amoxicillin And Clavulanate PotassiumAmoxicillin 875 mg/1; Clavulanate potassium 125 mg/1Tablet, CoatedOralREMEDYREPACK INC.70518-475870518-4758-00
Amoxicillin and Clavulanate PotassiumAmoxicillin 400 mg/5mL; Clavulanic acid 57 mg/5mLPowder, For suspensionOralPreferred Pharmaceuticals Inc.68788-417968788-4179-01
Amoxicillin And Clavulanate PotassiumAmoxicillin 500 mg/1; Clavulanate potassium 125 mg/1Tablet, Film coatedOralCoupler LLC67046-036667046-0366-03
Amoxicillin and Clavulanate PotassiumAmoxicillin 875 mg/1; Clavulanate potassium 125 mg/1Tablet, Film coatedOralCoupler LLC67046-095567046-0955-03
Amoxicillin and Clavulanate PotassiumAmoxicillin 562.5 mg/1 + 2 more ingredientsTablet, Film coated, Extended releaseOralUSAntibiotics, LLC81964-22081964-0220-2881964-0220-40
Amoxicillin and Clavulanate PotassiumAmoxicillin 875 mg/1; Clavulanate potassium 125 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-442470518-4424-00
Amoxicillin and Clavulanate PotassiumAmoxicillin 875 mg/1; Clavulanate potassium 125 mg/1Tablet, Film coatedOralPreferred Pharmaceuticals Inc.68788-883668788-8836-02
Amoxicillin and Clavulanate PotassiumAmoxicillin 600 mg/5mL; Clavulanate potassium 42.9 mg/5mLSuspensionOralPreferred Pharmaceuticals Inc.68788-877068788-8770-0168788-8770-07
Amoxicillin and Clavulanate PotassiumAmoxicillin 875 mg/1; Clavulanate potassium 125 mg/1Tablet, Film coatedOralDevatis, Inc.73043-00673043-0006-20
Amoxicillin and Clavulanate PotassiumAmoxicillin 500 mg/1; Clavulanate potassium 125 mg/1Tablet, Film coatedOralDevatis, Inc.73043-00773043-0007-20

All 201 Amoxicillin And Clavulanate Potassium NDCs

Other NDCs under NDA 050575

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

FDA NDC Directory listings under NDA 050575
ProductStrengthForm · routeLabelerProduct NDC
Amoxicillin And Clavulanate PotassiumAmoxicillin 125 mg/5mL; Clavulanate potassium 31.25 mg/5mLFor suspensionOralUSAntibiotics, LLC81964-212
Augmentinamoxicillin and clavulanate potassiumAmoxicillin 125 mg/5mL; Clavulanate potassium 31.25 mg/5mLFor suspensionOralAllegis Holdings, LLC71297-240

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