NDC codes

FDA NDC Directory
Product NDC (as listed)0003-3764Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00003-3764Add 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
0003-3764-7400003376474000033764741 KIT in 1 CARTON (0003-3764-74) * 32 TABLET, COATED in 1 BLISTER PACK * 42 TABLET, COATED in 1 BLISTER PACKMarketed from Nov 30, 2017

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)
ELIQUIS 30-Day Starter PackSuffix: 30-Day Starter Pack
Generic name (nonproprietary)
apixaban
Dosage form
Kit
Labeler
E.R. Squibb & Sons, L.L.C.NDC labeler code 0003
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 202155
Marketing start
Listing expires
Identifiers
Product ID 0003-3764_663be5ea-b58d-43c9-8138-2d9ed0846308SPL ID 663be5ea-b58d-43c9-8138-2d9ed0846308

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N400003376474 followed by a unit qualifier and the quantity

Package 00003-3764-74. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 0003-3764

What is NDC 0003-3764?
0003-3764 is the product NDC for ELIQUIS 30-Day Starter Pack (apixaban) kit, listed with the FDA by E.R. Squibb & Sons, L.L.C.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
ELIQUIS 30-Day Starter Pack (Apixaban).
Who is the labeler?
E.R. Squibb & Sons, L.L.C., NDC labeler code 0003. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for ELIQUIS 30-Day Starter Pack?
1 other product NDC are listed under this name. See all ELIQUIS 30-Day Starter Pack NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other ELIQUIS 30-Day Starter Pack NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
ELIQUIS 30-Day Starter Packapixaban—KitE.R. Squibb & Sons, L.L.C.0003-3765—

Other NDCs under NDA 202155

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 202155
ProductStrengthForm · routeLabelerProduct NDC
EliquisapixabanApixaban 2.5 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-0612
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-0613
EliquisapixabanApixaban 2.5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-1436
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-1437
ELIQUIS 30-Day Starter Packapixaban—KitE.R. Squibb & Sons, L.L.C.0003-3765
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-662
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralE.R. Squibb & Sons, L.L.C.0003-0894
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-4462
EliquisapixabanApixaban 2.5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6451
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6454
EliquisapixabanApixaban .5 mg/1Tablet, For suspensionOralE.R. Squibb & Sons, L.L.C.0003-1028
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralProficient Rx LP82804-085
EliquisapixabanApixaban 2.5 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-811
EliquisapixabanApixaban 2.5 mg/1Tablet, Film coatedOralE.R. Squibb & Sons, L.L.C.0003-0893

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