NDC codes

FDA NDC Directory
Product NDC (as listed)82804-994Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82804-0994Add 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
82804-994-0082804099400100 TABLET in 1 BOTTLE (82804-994-00)Marketed from May 6, 2024
82804-994-06828040994066 TABLET in 1 BOTTLE (82804-994-06)Marketed from May 6, 2024
82804-994-108280409941010 TABLET in 1 BOTTLE (82804-994-10)Marketed from May 6, 2024
82804-994-128280409941212 TABLET in 1 BOTTLE (82804-994-12)Marketed from May 6, 2024
82804-994-208280409942020 TABLET in 1 BOTTLE (82804-994-20)Marketed from May 6, 2024
82804-994-248280409942424 TABLET in 1 BOTTLE (82804-994-24)Marketed from May 6, 2024
82804-994-5582804099455500 TABLET in 1 BOTTLE (82804-994-55)Marketed from May 6, 2024
82804-994-908280409949090 TABLET in 1 BOTTLE (82804-994-90)Marketed from May 6, 2024
82804-994-968280409949696 TABLET in 1 BOTTLE (82804-994-96)Marketed from May 6, 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)
Phenazopyridine Hydrochloride
Generic name (nonproprietary)
phenazopyridine hydrochloride
Active ingredients
Phenazopyridine hydrochloride — 100 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 82804-994_ac155091-ee07-46da-bb25-ff4cd4074610SPL ID ac155091-ee07-46da-bb25-ff4cd4074610SPL set ID ac155091-ee07-46da-bb25-ff4cd4074610RxCUI 1094104, 1094107UNII 0EWG668W17UPC 0382804994106, 0382804995103

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

N482804099400 followed by a unit qualifier and the quantity

Package 82804-0994-00. 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)

INDICATIONS AND USAGE Phenazopyridine Hydrochloride is indicated for the symptomatic relief of pain, burning, urgency frequency, and other discomforts arising from irritation of the mucosa of the lower urinary tract caused by infection, trauma, surgery, endoscopic procedures, or the passage of sounds or catheters. The use of Phenazopyridine Hydrochloride for relief of symptoms should not delay definitive diagnosis and treatment of causative conditions. The drug should be used for symptomatic relief of pain and not as a substitute for specific surgery or antimicrobial therapy. Phenazopyridine Hydrochloride is compatible with antimicrobial therapy and can help relieve pain and discomfort durin…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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