NDC codes

FDA NDC Directory
Product NDC (as listed)0002-4184Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00002-4184Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0002-4184-300000241843030 TABLET in 1 BOTTLE (0002-4184-30)Marketed from Dec 16, 2016

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Evista
Generic name (nonproprietary)
raloxifene hydrochloride
Active ingredients
Raloxifene hydrochloride60 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020815
Marketing start
Marketing end
Other FDA classes
Selective Estrogen Receptor Modulators (Mechanism)
Identifiers
Product ID 0002-4184_e14cc768-f346-4584-bacb-8d4854728b36SPL ID e14cc768-f346-4584-bacb-8d4854728b36SPL set ID fcaaa6dc-74e8-4fb8-800c-5574bf0f8de9RxCUI 1490065, 1490067UNII 4F86W47BR6UPC 0300024184305
Pharmacologic class
Estrogen Agonist/Antagonist

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400002418430 followed by a unit qualifier and the quantity

Package 00002-4184-30. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

EVISTA ® is an estrogen agonist/antagonist indicated for: Treatment and prevention of osteoporosis in postmenopausal women. ( 1.1 ) Reduction in risk of invasive breast cancer in postmenopausal women with osteoporosis. ( 1.2 ) Reduction in risk of invasive breast cancer in postmenopausal women at high risk for invasive breast cancer. ( 1.3 ) Important Limitations: EVISTA is not indicated for the treatment of invasive breast cancer, reduction of the risk of recurrence of breast cancer, or reduction of risk of noninvasive breast cancer. ( 1.3 ) 1.1 Treatment and Prevention of Osteoporosis in Postmenopausal Women EVISTA is indicated for the treatment and prevention of osteoporosis in postmenopa

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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