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  5. NDC Package Code: 0904-6939-61 Hydroxyurea

NDC Package 0904-6939-61 Hydroxyurea

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

Table of Contents

    1. Package Information
    2. 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:
0904-6939-61
Package Description:
100 BLISTER PACK in 1 CARTON / 1 CAPSULE in 1 BLISTER PACK
Product Code:
0904-6939
Proprietary Name:
Hydroxyurea
Non-Proprietary Name:
Hydroxyurea
Substance Name:
Hydroxyurea
Usage Information:
This medication is used by people with sickle cell anemia to reduce the number of painful crises caused by the disease and to reduce the need for blood transfusions. Some brands are also used to treat certain types of cancer (such as chronic myelogenous leukemia, squamous cell carcinomas).
11-Digit NDC Billing Format:
00904693961
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:
  • RxCUI: 197797 - hydroxyurea 500 MG Oral Capsule
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Major Pharmaceuticals
    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):
  • HYDROXYUREA 500 mg/1
    • Pharmacologic Class(es):
  • Antimetabolite - [EPC] (Established Pharmacologic Class)
  • Urea - [CS]
    • Sample Package:
    No
    FDA Application Number:
    ANDA075340
    Marketing Category:
    ANDA - A product marketed under an approved Abbreviated New Drug Application.
    Start Marketing Date:
    02-24-1999
    Listing Expiration Date:
    12-31-2024
    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.

    Frequently Asked Questions

    What is NDC 0904-6939-61?

    The NDC Packaged Code 0904-6939-61 is assigned to a package of 100 blister pack in 1 carton / 1 capsule in 1 blister pack of Hydroxyurea, a human prescription drug labeled by Major Pharmaceuticals. The product's dosage form is capsule and is administered via oral form.

    Is NDC 0904-6939 included in the NDC Directory?

    Yes, Hydroxyurea with product code 0904-6939 is active and included in the NDC Directory. The product was first marketed by Major Pharmaceuticals on February 24, 1999 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 0904-6939-61?

    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 0904-6939-61?

    The 11-digit format is 00904693961. 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
    4-4-20904-6939-615-4-200904-6939-61