NDC codes

FDA NDC Directory
Product NDC (as listed)82619-131Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82619-0131Add 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
82619-131-0182619013101100 TABLET in 1 BOTTLE (82619-131-01)Marketed from May 8, 2025
82619-131-0282619013102500 TABLET in 1 BOTTLE (82619-131-02)Marketed from May 8, 2025
82619-131-03826190131031000 TABLET in 1 BOTTLE (82619-131-03)Marketed from May 8, 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)
Hydroxychloroquine Sulfate
Generic name (nonproprietary)
hydroxychloroquine sulfate
Active ingredients
Hydroxychloroquine sulfate — 200 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040150
Marketing start
Listing expires
Identifiers
Product ID 82619-131_40b93dff-c062-433c-e063-6294a90a6b67SPL ID 40b93dff-c062-433c-e063-6294a90a6b67SPL set ID 04139607-f7c0-4fe1-a210-ffa5af347d56RxCUI 979092UNII 8Q2869CNVHUPC 0382619131017, 0382619131024, 0382619131031
Pharmacologic class
Antimalarial; Antirheumatic Agent

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

N482619013101 followed by a unit qualifier and the quantity

Package 82619-0131-01. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Hydroxychloroquine sulfate tablets are an antimalarial and antirheumatic indicated for the: Treatment of uncomplicated malaria due to Plasmodium falciparum, Plasmodium malariae, Plasmodium ovale, and Plasmodium vivax in adult and pediatric patients. ( 1.1 ) Prophylaxis of malaria in geographic areas where chloroquine resistance is not reported in adult and pediatric patients. ( 1.1 ) Treatment of rheumatoid arthritis in adults. ( 1.2 ) Treatment of systemic lupus erythematosus in adults. ( 1.3 ) Treatment of chronic discoid lupus erythematosus in adults. ( 1.4 ) Limitations of Use ( 1.1 ): Hydroxychloroquine sulfate tablets are not recommended for the: Treatment of complicated malaria. Treat…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 040150

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

FDA NDC Directory listings under ANDA 040150
ProductStrengthForm · routeLabelerProduct NDC
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1TabletOralBryant Ranch Prepack71335-3113
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1TabletOralBryant Ranch Prepack72162-2467
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1TabletOralBryant Ranch Prepack71335-3142
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1TabletOralBryant Ranch Prepack71335-2813
Hydroxychloroquine SulfateHydroxychloroquine sulfate 200 mg/1TabletOralBryant Ranch Prepack71335-2814

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