Pifeltro (doravirine) NDC 0006-3069

NDC codes

FDA NDC Directory

Product NDC (as listed)0006-3069Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00006-3069Add 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 NDC	11-digit (billing)	Package	Copy
0006-3069-01	00006306901	30 TABLET, FILM COATED in 1 BOTTLE (0006-3069-01)Marketed from Jul 20, 2018

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): Pifeltro
Generic name (nonproprietary): doravirine
Active ingredients: Doravirine — 100 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Merck Sharp & Dohme LLC
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 210806
Marketing start: Jul 20, 2018
Listing expires: Dec 31, 2027
Other FDA classes: Non-Nucleoside Analog (EXT)Non-Nucleoside Reverse Transcriptase Inhibitors (Mechanism)
Identifiers: Product ID 0006-3069_213c6c93-b2a7-43c1-a380-c3799a9343b0SPL ID 213c6c93-b2a7-43c1-a380-c3799a9343b0SPL set ID 76ce1f00-28c0-4314-bd2c-d473fe3d0970RxCUI 2055760, 2055766UNII 913P6LK81MUPC 0300063069014
Pharmacologic class: Human Immunodeficiency Virus 1 Non-Nucleoside Analog Reverse Transcriptase Inhibitor

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

N400006306901 followed by a unit qualifier and the quantity

Package 00006-3069-01. 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

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