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  5. NDC Package Code: 0904-7304-61 Promethazine Hydrochloride

NDC Package 0904-7304-61 Promethazine Hydrochloride

Tablet 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:
0904-7304-61
Package Description:
100 BLISTER PACK in 1 CARTON / 1 TABLET in 1 BLISTER PACK
Product Code:
0904-7304
Proprietary Name:
Promethazine Hydrochloride
Non-Proprietary Name:
Promethazine Hydrochloride
Substance Name:
Promethazine Hydrochloride
Usage Information:
Promethazine hydrochloride tablets are useful for:•Perennial and seasonal allergic rhinitis.•Vasomotor rhinitis.•Allergic conjunctivitis due to inhalant allergens and foods.•Mild, uncomplicated allergic skin manifestations of urticaria and angioedema.•Amelioration of allergic reactions to blood or plasma.•Dermographism.•Anaphylactic reactions as adjunctive therapy to epinephrine and other standard measures after the acute manifestations have been controlled.•Preoperative, postoperative and obstetric sedation.•Prevention and control of nausea and vomiting associated with certain types of anesthesia and surgery.•Therapy adjunctive to meperidine or other analgesics for control of postoperative pain.•Sedation in both children and adults as well as relief of apprehension and production of light sleep from which the patient can be easily aroused.•Active and prophylactic treatment of motion sickness.•Antiemetic therapy in postoperative patients.
11-Digit NDC Billing Format:
00904730461
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:
Major Pharmaceuticals
Dosage Form:
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route(s):
Oral - Administration to or by way of the mouth.
Active Ingredient(s):
PROMETHAZINE HYDROCHLORIDE 25 mg/1
Pharmacologic Class(es):
Sample Package:
No
FDA Application Number:
ANDA091179
Marketing Category:
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date:
04-17-2023
Listing Expiration Date:
12-31-2025
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 0904-7304-61 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
00904730461Q0169PROMETHAZINE HYDROCHLORIDE, 12.5 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 REGIMEN12.5 MG100EA

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0904-7304-61?

The NDC Packaged Code 0904-7304-61 is assigned to a package of 100 blister pack in 1 carton / 1 tablet in 1 blister pack of Promethazine Hydrochloride, a human prescription drug labeled by Major Pharmaceuticals. The product's dosage form is tablet and is administered via oral form.

Is NDC 0904-7304 included in the NDC Directory?

Yes, Promethazine Hydrochloride with product code 0904-7304 is active and included in the NDC Directory. The product was first marketed by Major Pharmaceuticals on April 17, 2023 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 0904-7304-61?

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 0904-7304-61?

The 11-digit format is 00904730461. 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
4-4-20904-7304-615-4-200904-7304-61