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  5. NDC Package Code: 0069-5410-66 Vistaril

NDC Package 0069-5410-66 Vistaril

Hydroxyzine Pamoate Capsule Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. NDC HCPCS Crosswalk
    3. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0069-5410-66
Package Description:
100 CAPSULE in 1 BOTTLE
Product Code:
0069-5410
Proprietary Name:
Vistaril
Non-Proprietary Name:
Hydroxyzine Pamoate
Substance Name:
Hydroxyzine Pamoate
Usage Information:
Hydroxyzine is used to treat itching caused by allergies. It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery.
11-Digit NDC Billing Format:
00069541066
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
100 EA
NDC to RxNorm Crosswalk:
Product Type:
Human Prescription Drug
Labeler Name:
Pfizer Laboratories Div Pfizer Inc
Dosage Form:
Capsule - A solid oral dosage form consisting of a shell and a filling. The shell is composed of a single sealed enclosure, or two halves that fit together and which are sometimes sealed with a band. Capsule shells may be made from gelatin, starch, or cellulose, or other suitable materials, may be soft or hard, and are filled with solid or liquid ingredients that can be poured or squeezed.
Administration Route(s):
Oral - Administration to or by way of the mouth.
Active Ingredient(s):
HYDROXYZINE PAMOATE 25 mg/1
Pharmacologic Class(es):
Sample Package:
No
FDA Application Number:
NDA011459
Marketing Category:
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date:
11-28-1994
End Marketing Date:
01-31-2026
Exclude Flag:
N
Code Structure:

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the disclaimer below.

NDC HCPCS Crosswalk

This crosswalk is intended to help the public understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes.

NDC 0069-5410-66 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
00069541066Q0177HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN25 MG100EA

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0069-5410-66?

The NDC Packaged Code 0069-5410-66 is assigned to a package of 100 capsule in 1 bottle of Vistaril, a human prescription drug labeled by Pfizer Laboratories Div Pfizer Inc. The product's dosage form is capsule and is administered via oral form.This product is billed for "EA" each discreet unit and contains an estimated amount of 100 billable units per package.

Is NDC 0069-5410 included in the NDC Directory?

Yes, Vistaril with product code 0069-5410 is active and included in the NDC Directory. The product was first marketed by Pfizer Laboratories Div Pfizer Inc on November 28, 1994.

What is the NDC billing unit for package 0069-5410-66?

The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 100.

What is the 11-digit format for NDC 0069-5410-66?

The 11-digit format is 00069541066. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
4-4-20069-5410-665-4-200069-5410-66