NDC Package 0904-5174-16 Banophen

View Billable Units, 11-Digit Format, RxNorm

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

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:
0904-5174-16
Package Description:
473 mL in 1 BOTTLE
Product Code:
Proprietary Name:
Banophen
11-Digit NDC Billing Format:
00904517416
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
473 ML
Labeler Name:
Major Pharmaceuticals
Sample Package:
No
FDA Application Number:
part341
Marketing Category:
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date:
08-24-2012
End Marketing Date:
10-31-2020
Listing Expiration Date:
10-31-2020
Exclude Flag:
D
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.

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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 0904-5174-16 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
00904517416Q0163DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN50 MG480ML

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0904-5174-16?

The NDC Packaged Code 0904-5174-16 is assigned to a package of 473 ml in 1 bottle of Banophen, labeled by Major Pharmaceuticals. The product's dosage form is and is administered via form.

Is NDC 0904-5174 included in the NDC Directory?

No, Banophen with product code 0904-5174 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Major Pharmaceuticals on August 24, 2012 and its listing in the NDC Directory is set to expire on October 31, 2020 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 0904-5174-16?

The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume. The calculated billable units for this package is 473.

What is the 11-digit format for NDC 0904-5174-16?

The 11-digit format is 00904517416. 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
4-4-20904-5174-165-4-200904-5174-16