The categories you will actually see

The categories you will actually see
CategoryWhat it meansTypical products
NDABrand-name drug approved on its own clinical evidenceMost innovator small molecules
ANDAGeneric proved bioequivalent to a reference brandMulti-source generics
BLALicensed biological productMonoclonal antibodies, vaccines, cell and gene therapies
NDA authorized genericThe brand product sold under a generic labelAuthorised generics
OTC monographConforms to a published OTC rulebook; no individual approvalStore-brand analgesics, antacids
Unapproved drug otherLegally marketed without approval, largely historicalSome long-marketed preparations

Why the category matters for billing

A BLA product with no permanent HCPCS code belongs on J3590, the unclassified biologics code, while a small molecule in the same position belongs on J3490. Some payers reject the wrong one outright.

The category also predicts how many NDCs a molecule will have. One NDA usually means a handful; an ANDA molecule with a dozen manufacturers can produce hundreds of distinct codes for the same tablet.

505(b)(2), the category people miss

A 505(b)(2) product is approved under an NDA number but relied partly on data the applicant did not generate — typically a reformulation, a new route or a new strength of an existing drug. It looks like a brand in the data and behaves like one commercially, but its evidence base is narrower.