Hydroxyzine Pamoate
NDC Package 63187-034-30

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
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 discontinued by the firm.

Hydroxyzine Pamoate is hydroxyzine is used to treat itching caused by allergies. Marketed by Proficient Rx Lp, this product is identified by NDC 63187-034 and is authorized under FDA application ANDA040156.

Identification & Billing

NDC Package Code
63187-034-30
Package Description
300 CAPSULE in 1 BOTTLE, PLASTIC
Product Code
63187-034
11-Digit Billing Format
63187003430

Clinical Specifications

Proprietary Name
Hydroxyzine Pamoate
Dosage Form
-
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.

Regulatory & Marketing

Labeler Name
Proficient Rx Lp
FDA Application #
ANDA040156
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
07-15-1996
End Marketing Date
06-30-2018
Listing Expiration
06-30-2018
Exclude Flag
D
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 63187-034-30 identifies a specific commercial package of 300 capsule in 1 bottle, plastic of Hydroxyzine Pamoate, labeled by Proficient Rx Lp. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Proficient Rx Lp on July 15, 1996. The current certification is valid through June 30, 2018.

What are the primary indications for this medication?

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.

How is this Proficient Rx Lp product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63187003430. 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)
63187-034-30
11-Digit CMS (5-4-2)
63187-0034-30

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