NDC codes

FDA NDC Directory
Product NDC (as listed)0469-0617Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00469-0617Add 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
0469-0617-73004690617731 BOTTLE in 1 CARTON (0469-0617-73) / 100 CAPSULE, GELATIN COATED in 1 BOTTLEMarketed from Apr 8, 1994

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)
Prograf
Generic name (nonproprietary)
tacrolimus
Active ingredients
Tacrolimus — 1 mg/1
Dosage form
Capsule, Gelatin coated
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 050708
Marketing start
Listing expires
Other FDA classes
Calcineurin Inhibitors (Mechanism)
Identifiers
Product ID 0469-0617_e9157663-1515-4ba3-83b5-1622cf6f0f99SPL ID e9157663-1515-4ba3-83b5-1622cf6f0f99SPL set ID 7f667de1-9dfa-4bd6-8ba0-15ee2d78873bRxCUI 108513, 108514, 108515, 198377, 198378, 198379, 261134, 313190, 2052605, 2052609, 2052703, 2052704UNII WM0HAQ4WNMUPC 0304690607731, 0304690657736, 0304691230501, 0304691330508, 0304690617730, 0304693016011
Pharmacologic class
Calcineurin Inhibitor Immunosuppressant

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

N400469061773 followed by a unit qualifier and the quantity

Package 00469-0617-73. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

PROGRAF is a calcineurin-inhibitor immunosuppressant indicated for the prophylaxis of organ rejection in adult and pediatric patients receiving allogeneic liver, kidney, heart, or lung transplants, in combination with other immunosuppressants. ( 1.1 ) 1.1 Prophylaxis of Organ Rejection in Kidney, Liver, Heart, or Lung Transplant PROGRAF ® is indicated for the prophylaxis of organ rejection, in adult and pediatric patients receiving allogeneic kidney transplant [see Clinical Studies ( 14.1 )], liver transplant [see Clinical Studies ( 14.2 )], heart transplant [see Clinical Studies ( 14.3 )], or lung transplant [see Clinical Studies ( 14.4 )] in combination with other immunosuppressants.…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 050708

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

FDA NDC Directory listings under NDA 050708
ProductStrengthForm · routeLabelerProduct NDC
PrograftacrolimusTacrolimus 5 mg/1Capsule, Gelatin coatedOralAstellas Pharma US, Inc.0469-0657
PrograftacrolimusTacrolimus .5 mg/1Capsule, Gelatin coatedOralAstellas Pharma US, Inc.0469-0607

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