Tribenzor NDC 0713-0876

NDC codes

FDA NDC Directory

Product NDC (as listed)0713-0876Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00713-0876Add 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
0713-0876-30	00713087630	30 TABLET, FILM COATED in 1 BOTTLE (0713-0876-30)Marketed from Sep 1, 2022

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): Tribenzor
Generic name (nonproprietary): olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide
Active ingredients: Olmesartan medoxomil — 40 mg/1Amlodipine besylate — 5 mg/1Hydrochlorothiazide — 25 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Cosette Pharmaceuticals, Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 200175
Marketing start: Sep 1, 2022
Listing expires: Dec 31, 2026
Other FDA classes: Angiotensin 2 Receptor Antagonists (Mechanism)Calcium Channel Antagonists (Mechanism)Cytochrome P450 3A Inhibitors (Mechanism)Dihydropyridines (Chemical structure)Increased Diuresis (Physiologic effect)Thiazides (Chemical structure)
Identifiers: Product ID 0713-0876_004953ba-fe11-03eb-e063-6394a90a638cSPL ID 004953ba-fe11-03eb-e063-6394a90a638cSPL set ID 2f56d0bc-236b-41a0-9fc0-21cdfea8d890RxCUI 999967, 999971, 999986, 999990, 999991, 999995, 999996, 1000000, 1000001, 1000005UNII 864V2Q084H, 0J48LPH2TH, 6M97XTV3HDUPC 0307130876308, 0307130874304, 0307130877305, 0307130878302, 0307130875301
Pharmacologic class: Angiotensin 2 Receptor Blocker; Calcium Channel Blocker; Dihydropyridine Calcium Channel Blocker; Thiazide Diuretic

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

N400713087630 followed by a unit qualifier and the quantity

Package 00713-0876-30. 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 Jul 12, 2023. This label includes a boxed warning.

Indications (excerpt from the label)

Tribenzor is indicated for the treatment of hypertension, alone or with other antihypertensive agents, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular (CV) events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes including the class to which this drug principally belongs. There are no controlled trials demonstrating risk reduction with Tribenzor. Control of high blood pressure should be part of comprehensive cardiovascular risk management, including, as appropriate, lipid control, diabetes management, antithrombotic ther…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)