Good Neighbor Pharmacy Esomeprazole Magnesium Capsule, Delayed Release
NDC Package 46122-641-04

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Good Neighbor Pharmacy Esomeprazole Magnesium (esomeprazole) capsules is •adults 18 years of age and older•this product is to be used once a day (every 24 hours), every day for 14 days•may take 1 to 4 days for full effect14-Day Course of Treatment•swallow 1 capsule with a glass of water before eating in the morning•take every day for 14 days•do not take more than 1 capsule a day•swallow whole. This formulation utilizes a capsule, delayed release delivery system. Marketed by Amerisource Bergen, this product is identified by NDC 46122-641 and is authorized under FDA application ANDA207193.

Identification & Billing

NDC Package Code
46122-641-04
Package Description
3 BOTTLE in 1 CARTON / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLE (46122-641-63)
Product Code
46122-641
11-Digit Billing Format
46122064104
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
3 EA
RxNorm Crosswalk
  • RxCUI: 606726 - esomeprazole magnesium 20 MG Delayed Release Oral Capsule
  • RxCUI: 606726 - esomeprazole 20 MG Delayed Release Oral Capsule
  • RxCUI: 606726 - esomeprazole 20 MG (as esomeprazole magnesium dihydrate 22 MG) Delayed Release Oral Capsule
  • RxCUI: 606726 - esomeprazole 20 MG (as esomeprazole magnesium trihydrate 22.3 MG) Delayed Release Oral Capsule

Clinical Specifications

Proprietary Name
Good Neighbor Pharmacy Esomeprazole Magnesium
Non-Proprietary Name
Esomeprazole
Substance Name
Esomeprazole
Dosage Form
Capsule, Delayed Release - A solid dosage form in which the drug is enclosed within either a hard or soft soluble container made from a suitable form of gelatin, and which releases a drug (or drugs) at a time other than promptly after administration. Enteric-coated articles are delayed release dosage forms.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
ESOMEPRAZOLE 20 mg/1
Pharmacologic Class
Usage Information
•adults 18 years of age and older•this product is to be used once a day (every 24 hours), every day for 14 days•may take 1 to 4 days for full effect14-Day Course of Treatment•swallow 1 capsule with a glass of water before eating in the morning•take every day for 14 days•do not take more than 1 capsule a day•swallow whole. Do not crush or chew capsules.•do not use for more than 14 days unless directed by your doctorRepeated 14-Day Courses (if needed)•you may repeat a 14-day course every 4 months•do not take for more than 14 days or more often than every 4 months unless directed by a doctor•children under 18 years of age: ask a doctor before use. Heartburn in children may sometimes be caused by a serious condition.

Regulatory & Marketing

Labeler Name
Amerisource Bergen
Product Type
Human Otc Drug
FDA Application #
ANDA207193
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
03-13-2020
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 46122-641-04 identifies a specific commercial package of 3 bottle in 1 carton / 14 capsule, delayed release in 1 bottle (46122-641-63) of Good Neighbor Pharmacy Esomeprazole Magnesium, a human over the counter drug labeled by Amerisource Bergen. This capsule, delayed release is formulated for oral use and contains esomeprazole as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Amerisource Bergen on March 13, 2020. The current certification is valid through December 31, 2026.

How is this Amerisource Bergen product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 46122064104. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 3 total billable units per package. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
46122-641-04
11-Digit CMS (5-4-2)
46122-0641-04

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.