NDC codes

FDA NDC Directory
Product NDC (as listed)0069-4190Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00069-4190Add 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
0069-4190-68000694190680006941906890 TABLET, FILM COATED in 1 BOTTLE (0069-4190-68)Marketed from Jun 3, 2005

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)
Revatio
Generic name (nonproprietary)
sildenafil citrate
Active ingredients
Sildenafil citrate — 20 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
PFIZER LABORATORIES DIV PFIZER INCNDC labeler code 0069
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021845
Marketing start
Marketing end
Other FDA classes
Phosphodiesterase 5 Inhibitors (Mechanism)
Identifiers
Product ID 0069-4190_9fcb9918-6486-4715-8733-d5ff24a2679dSPL ID 9fcb9918-6486-4715-8733-d5ff24a2679dSPL set ID f158fe10-d5dc-4432-b2c9-fc665401291bRxCUI 577033, 581645, 882527, 882530, 1307427, 1307431UNII BW9B0ZE037
Pharmacologic class
Phosphodiesterase 5 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

N400069419068 followed by a unit qualifier and the quantity

Package 00069-4190-68. 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)

Adults REVATIO is indicated for the treatment of pulmonary arterial hypertension (PAH) (World Health Organization [WHO] Group I) in adults to improve exercise ability and delay clinical worsening [see Clinical Studies (14) ] . Pediatric Patients (1 to 17 Years old) REVATIO is indicated in pediatric patients 1 to 17 years old for the treatment of pulmonary arterial hypertension (PAH) (WHO Group I) to improve exercise ability and, in pediatric patients too young to perform standardized exercise testing, pulmonary hemodynamics thought to underlie improvements in exercise [see Clinical Studies (14) ] . Adults REVATIO is a phosphodiesterase-5 (PDE-5) inhibitor indicated for the treatment of pulmo…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0069-4190

What is NDC 0069-4190?
0069-4190 is the product NDC for Revatio (sildenafil citrate), Sildenafil citrate 20 mg/1 tablet, film coated, listed with the FDA by PFIZER LABORATORIES DIV PFIZER INC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Revatio (Sildenafil citrate).
What is the active ingredient?
Sildenafil citrate.
Who is the labeler?
PFIZER LABORATORIES DIV PFIZER INC, NDC labeler code 0069. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Revatio?
3 other product NDCs are listed under this name. See all Revatio 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 Revatio NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Revatiosildenafil citrateSildenafil citrate 20 mg/1Tablet, Film coatedOralViatris Specialty LLC58151-40258151-0402-77
Revatiosildenafil citrateSildenafil citrate .8 mg/mLInjection, SolutionIntravenousViatris Specialty LLC58151-39558151-0395-31
Revatiosildenafil citrateSildenafil citrate 10 mg/mLPowder, For suspensionOralViatris Specialty LLC58151-385—

Other NDCs under NDA 021845

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

FDA NDC Directory listings under NDA 021845
ProductStrengthForm · routeLabelerProduct NDC
Revatiosildenafil citrateSildenafil citrate 20 mg/1Tablet, Film coatedOralViatris Specialty LLC58151-402

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