Prescription drug · ANDA
Acitretin NDC 0115-1752
Acitretin 22.5 mg/1 · Capsule · Oral · Amneal Pharmaceuticals of New York LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0115-1752-08 | 00115175208 | 30 CAPSULE in 1 BOTTLE, PLASTIC (0115-1752-08)Marketed from Jan 4, 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)
- Acitretin
- Generic name (nonproprietary)
- acitretin
- Active ingredients
- Acitretin — 22.5 mg/1
- Dosage form
- Capsule
- Route
- Oral
- Product type
- Prescription drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 202552
- Marketing start
- Listing expires
- Other FDA classes
- Retinoids (Chemical structure)
- Identifiers
- Product ID 0115-1752_233bc68a-a24e-4f19-8477-3a11e80e68dfSPL ID 233bc68a-a24e-4f19-8477-3a11e80e68dfSPL set ID 85507f6c-f802-479e-bacc-624b5136d092RxCUI 199689, 199690, 894859, 894863UNII LCH760E9T7UPC 0301151753082, 0301151752085
- Pharmacologic class
- Retinoid
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
N400115175208followed by a unit qualifier and the quantityPackage 00115-1752-08. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.