NDC codes

FDA NDC Directory
Product NDC (as listed)82804-103Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82804-0103Add 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
82804-103-90828040103908280401039090 TABLET, FILM COATED in 1 BOTTLE (82804-103-90)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

Generic name (nonproprietary)
losartan potassium and hydrochlorothiazide
Active ingredients
Losartan potassium — 100 mg/1Hydrochlorothiazide — 12.5 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Proficient Rx LPNDC labeler code 82804
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204901
Marketing start
Listing expires
Other FDA classes
Angiotensin 2 Receptor Antagonists (Mechanism)Increased Diuresis (Physiologic effect)Thiazides (Chemical structure)
Identifiers
Product ID 82804-103_c6ed6f74-0eca-4f99-8c7e-dd3f56167f01SPL ID c6ed6f74-0eca-4f99-8c7e-dd3f56167f01SPL set ID c6ed6f74-0eca-4f99-8c7e-dd3f56167f01RxCUI 979464UNII 3ST302B24A, 0J48LPH2THUPC 0382804103904
Pharmacologic class
Angiotensin 2 Receptor Blocker; Thiazide Diuretic

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

N482804010390 followed by a unit qualifier and the quantity

Package 82804-0103-90. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Losartan potassium and hydrochlorothiazide tablets are a combination of losartan, an angiotensin II receptor blocker (ARB) and hydrochlorothiazide, a diuretic indicated for: • Treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. ( 1.1 ) • Reduction of the risk of stroke in patients with hypertension and left ventricular hypertrophy. There is evidence that this benefit does not apply to Black patients. ( 1.2 ) 1.1 Hypertension Losartan potassium and hydrochlorothiazide tablets are indicated for the treatment of hypertension, to lower blood pressure. Lowering blood…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 82804-103

What is NDC 82804-103?
82804-103 is the product NDC for Losartan Potassium and Hydrochlorothiazide, Losartan potassium 100 mg/1; Hydrochlorothiazide 12.5 mg/1 tablet, film coated, listed with the FDA by Proficient Rx LP. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Losartan Potassium and Hydrochlorothiazide.
What is the active ingredient?
Losartan potassium, Hydrochlorothiazide.
Who is the labeler?
Proficient Rx LP, NDC labeler code 82804. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Losartan Potassium and Hydrochlorothiazide?
104 other product NDCs are listed under this name. See all Losartan Potassium and Hydrochlorothiazide 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 Losartan Potassium and Hydrochlorothiazide NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Losartan Potassium And HydrochlorothiazideLosartan potassium 50 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralCamber Pharmaceuticals, Inc.31722-75531722-0755-1031722-0755-3031722-0755-90
Losartan Potassium And HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralCamber Pharmaceuticals, Inc.31722-75631722-0756-1031722-0756-3031722-0756-90
Losartan Potassium And HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralCamber Pharmaceuticals, Inc.31722-75731722-0757-1031722-0757-3031722-0757-90
Losartan Potassium and HydrochlorothiazideLosartan potassium 50 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralCoupler LLC67046-161867046-1618-03
Losartan potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralBryant Ranch Prepack72162-249272162-2492-0072162-2492-09
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralNorthStar Rx LLC16714-22416714-0224-0116714-0224-0216714-0224-03
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralNorthStar Rx LLC16714-22516714-0225-0116714-0225-0216714-0225-04
Losartan Potassium and HydrochlorothiazideLosartan potassium 50 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralNorthStar Rx LLC16714-22616714-0226-0116714-0226-0216714-0226-04
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-444750090-4447-0050090-4447-0150090-4447-02
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-782150090-7821-00

All 105 Losartan Potassium and Hydrochlorothiazide NDCs

Other NDCs under ANDA 204901

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

FDA NDC Directory listings under ANDA 204901
ProductStrengthForm · routeLabelerProduct NDC
Losartan Potassium and HydrochlorothiazideLosartan potassium 50 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralQPharma, Inc42708-193
Losartan Potassium and HydrochlorothiazideLosartan potassium 50 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralSolco Healthcare US, LLC43547-423
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralSolco Healthcare US, LLC43547-424
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralSolco Healthcare US, LLC43547-425
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-7058
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-7059
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralSt. Mary's Medical Park Pharmacy60760-572
Losartan Potassium and HydrochlorothiazideLosartan potassium 50 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralPreferred Pharmaceuticals Inc.68788-8187
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-3398
Losartan Potassium and HydrochlorothiazideLosartan potassium 50 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-3404
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-3420
Losartan Potassium and HydrochlorothiazideLosartan potassium 50 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-2127
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-2560
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-2572
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralBryant Ranch Prepack72162-2315
Losartan Potassium And HydrochlorothiazideLosartan potassium 50 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralDirect Rx72189-325
Losartan Potassium And HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralDirect Rx72189-326
Losartan Potassium And HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralDirect Rx72189-327
Losartan Potassium and HydrochlorothiazideLosartan potassium 50 mg/1; Hydrochlorothiazide 12.5 mg/1Tablet, Film coatedOralProficient Rx LP82804-239
Losartan Potassium and HydrochlorothiazideLosartan potassium 100 mg/1; Hydrochlorothiazide 25 mg/1Tablet, Film coatedOralQuality Care Products, LLC83008-086

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