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  5. NDC Package Code: 58177-679-04 Oxycodone Hydrochloride Controlled-release

NDC Package 58177-679-04 Oxycodone Hydrochloride Controlled-release

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

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:
58177-679-04
Package Description:
100 TABLET, EXTENDED RELEASE in 1 BOTTLE
Product Code:
58177-679
Proprietary Name:
Oxycodone Hydrochloride Controlled-release
Usage Information:
Oxycodone HCl Controlled-Release Tablets are a controlled-release oral formulation of oxycodone hydrochloride indicated for the management of moderate to severe pain when a continuous, around-the-clock analgesic is needed for an extended period of time. Oxycodone HCl Controlled-Release Tablets are NOT intended for use as a prn analgesic. Physicians should individualize treatment in every case, initiating therapy at the appropriate point along a progression from non-opioid analgesics, such as non-steroidal anti-inflammatory drugs and acetaminophen to opioids in a plan of pain management such as outlined by the World Health Organization, the Agency for Healthcare Research and Quality (formerly known as the Agency for Health Care Policy and Research), the Federation of State Medical Boards Model Guidelines, or the American Pain Society. Oxycodone HCl Controlled-Release Tablets are not indicated for pain in the immediate postoperative period (the first 12-24 hours following surgery), or if the pain is mild, or not expected to persist for an extended period of time. Oxycodone HCl Controlled-Release Tablets are only indicated for postoperative use if the patient is already receiving the drug prior to surgery or if the postoperative pain is expected to be moderate to severe and persist for an extended period of time. Physicians should individualize treatment, moving from parenteral to oral analgesics as appropriate. (See American Pain Society guidelines.)
11-Digit NDC Billing Format:
58177067904
NDC to RxNorm Crosswalk:
  • RxCUI: 1049502 - oxyCODONE HCl 10 MG 12HR Extended Release Oral Tablet
  • RxCUI: 1049502 - 12 HR oxycodone hydrochloride 10 MG Extended Release Oral Tablet
  • RxCUI: 1049502 - oxycodone hydrochloride 10 MG 12 HR Extended Release Oral Tablet
  • RxCUI: 1049563 - oxyCODONE HCl 20 MG 12HR Extended Release Oral Tablet
  • RxCUI: 1049563 - 12 HR oxycodone hydrochloride 20 MG Extended Release Oral Tablet
    • Labeler Name:
    Ethex Corporation
    Sample Package:
    No
    Start Marketing Date:
    09-25-2009
    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 58177-679-04?

    The NDC Packaged Code 58177-679-04 is assigned to a package of 100 tablet, extended release in 1 bottle of Oxycodone Hydrochloride Controlled-release, labeled by Ethex Corporation. The product's dosage form is and is administered via form.

    Is NDC 58177-679 included in the NDC Directory?

    No, Oxycodone Hydrochloride Controlled-release with product code 58177-679 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Ethex Corporation on September 25, 2009 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 58177-679-04?

    The 11-digit format is 58177067904. 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
    5-3-258177-679-045-4-258177-0679-04