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  5. NDC Package Code: 0904-7065-61 Hydroxyzine Pamoate

NDC Package 0904-7065-61 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:
0904-7065-61
Package Description:
100 BLISTER PACK in 1 CARTON / 1 CAPSULE in 1 BLISTER PACK
Product Code:
0904-7065
Proprietary Name:
Hydroxyzine Pamoate
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:
00904706561
NDC to RxNorm Crosswalk:
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):
HYDROXYZINE PAMOATE 25 mg/1
Pharmacologic Class(es):
Sample Package:
No
FDA Application Number:
ANDA201507
Marketing Category:
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date:
06-03-2013
Listing Expiration Date:
12-31-2026
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 0904-7065-61 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
00904706561Q0177HYDROXYZINE 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 0904-7065-61?

The NDC Packaged Code 0904-7065-61 is assigned to a package of 100 blister pack in 1 carton / 1 capsule in 1 blister pack of Hydroxyzine Pamoate, a human prescription drug labeled by Major Pharmaceuticals. The product's dosage form is capsule and is administered via oral form.

Is NDC 0904-7065 included in the NDC Directory?

Yes, Hydroxyzine Pamoate with product code 0904-7065 is active and included in the NDC Directory. The product was first marketed by Major Pharmaceuticals on June 03, 2013 and its listing in the NDC Directory is set to expire on December 31, 2026 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 0904-7065-61?

The 11-digit format is 00904706561. 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
4-4-20904-7065-615-4-200904-7065-61