Wegovy (semaglutide) NDC 0169-4415

NDC codes

FDA NDC Directory

Product NDC (as listed)0169-4415Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00169-4415Add 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
0169-4415-31	00169441531	30 TABLET in 1 BOTTLE, PLASTIC (0169-4415-31)Marketed from Jan 6, 2026
0169-4415-92	00169441592	30 TABLET in 1 BOTTLE, PLASTIC (0169-4415-92)Marketed from Jan 6, 2026 · Sample package

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): Wegovy
Generic name (nonproprietary): semaglutide
Active ingredients: Semaglutide — 1.5 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Novo Nordisk Pharmaceutical Industries, LP
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 218316
Marketing start: Jan 6, 2026
Listing expires: Dec 31, 2027
Other FDA classes: Glucagon-Like Peptide 1 (Chemical structure)Glucagon-like Peptide-1 (GLP-1) Agonists (Mechanism)
Identifiers: Product ID 0169-4415_f7b108b9-f276-4e32-84e7-e828ba145da5SPL ID f7b108b9-f276-4e32-84e7-e828ba145da5
Pharmacologic class: GLP-1 Receptor Agonist

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

N400169441531 followed by a unit qualifier and the quantity

Package 00169-4415-31. 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.

Other NDCs under NDA 218316

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

FDA NDC Directory listings under NDA 218316
Product	Strength	Form · route	Labeler	Product NDC
Wegovysemaglutide	Semaglutide 4 mg/1	TabletOral	Novo Nordisk Pharmaceutical Industries, LP	0169-4404
Wegovysemaglutide	Semaglutide 9 mg/1	TabletOral	Novo Nordisk Pharmaceutical Industries, LP	0169-4409
Wegovysemaglutide	Semaglutide 25 mg/1	TabletOral	Novo Nordisk Pharmaceutical Industries, LP	0169-4425