NDC codes

FDA NDC Directory
Product NDC (as listed)0006-3603Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00006-3603Add 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
0006-3603-600000636036060 PACKET in 1 CARTON (0006-3603-60) / 1 GRANULE, FOR SUSPENSION in 1 PACKET (0006-3603-01)Marketed from Dec 20, 2013
0006-3603-610000636036160 PACKET in 1 CARTON (0006-3603-61) / 1 GRANULE, FOR SUSPENSION in 1 PACKET (0006-3603-01)Marketed from Nov 22, 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)
Isentress
Generic name (nonproprietary)
raltegravir
Active ingredients
Raltegravir potassium100 mg/1
Dosage form
Granule, For suspension
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 205786
Marketing start
Listing expires
Other FDA classes
HIV Integrase Inhibitors (Mechanism)
Identifiers
Product ID 0006-3603_70b9b593-db43-43ad-8808-a1c86c048145SPL ID 70b9b593-db43-43ad-8808-a1c86c048145SPL set ID 89a5ec53-d956-4329-8004-0f40f51c88a3RxCUI 744842, 744846, 1235588, 1235591, 1235593, 1235595, 1486838, 1486841, 1924313, 1924315UNII 43Y000U234UPC 0300060227615, 0300060473616, 0300063080019
Pharmacologic class
Human Immunodeficiency Virus Integrase Strand Transfer 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

N400006360360 followed by a unit qualifier and the quantity

Package 00006-3603-60. 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 .

Indications (excerpt from the label)

Adult Patients: ISENTRESS and ISENTRESS HD are human immunodeficiency virus integrase strand transfer inhibitors (HIV-1 INSTI) indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in adult patients ( 1 ). Pediatric Patients: ISENTRESS is indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in pediatric patients weighing at least 2 kg ( 1 ). ISENTRESS HD is indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in pediatric patients weighing at least 40 kg ( 1 ). Adult Patients: ISENTRESS ® and ISENTRESS ® HD are indicated in combination with other antiretroviral agents

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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