NDC Package 42495-170-30 Hydroxyzine Pamoate

View Billable Units, 11-Digit Format, RxNorm

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

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:
42495-170-30
Package Description:
30 CAPSULE in 1 BLISTER PACK
Product Code:
Proprietary 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:
42495017030
NDC to RxNorm Crosswalk:
  • RxCUI: 995278 - hydrOXYzine pamoate 50 MG Oral Capsule
  • RxCUI: 995278 - hydroxyzine pamoate 50 MG Oral Capsule
  • RxCUI: 995278 - hydroxyzine pamoate 50 MG (hydroxyzine pamoate 85.2 MG eqv to hydroxyzine HCl 50 MG) Oral Capsule
  • Labeler Name:
    Westwood Manufacturing
    Sample Package:
    No
    Start Marketing Date:
    11-17-2010
    Listing Expiration Date:
    12-31-2017
    Exclude Flag:
    I
    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 42495-170-30?

    The NDC Packaged Code 42495-170-30 is assigned to a package of 30 capsule in 1 blister pack of Hydroxyzine Pamoate, labeled by Westwood Manufacturing. The product's dosage form is and is administered via form.

    Is NDC 42495-170 included in the NDC Directory?

    No, Hydroxyzine Pamoate with product code 42495-170 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Westwood Manufacturing on November 17, 2010 and its listing in the NDC Directory is set to expire on December 31, 2017 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 42495-170-30?

    The 11-digit format is 42495017030. 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 5-3-2 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
    5-3-242495-170-305-4-242495-0170-30