NDC codes

FDA NDC Directory
Product NDC (as listed)0904-5891Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-5891Add 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
0904-5891-6100904589161100 BLISTER PACK in 1 BOX, UNIT-DOSE (0904-5891-61) / 1 TABLET in 1 BLISTER PACKMarketed from Jul 18, 2011

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)
Pravastatin Sodium
Generic name (nonproprietary)
pravastatin sodium
Active ingredients
Pravastatin sodium — 10 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076341
Marketing start
Listing expires
Other FDA classes
Hydroxymethylglutaryl-CoA Reductase Inhibitors (Mechanism)
Identifiers
Product ID 0904-5891_146c03fa-1b8e-4cd7-a89f-dcc326121256SPL ID 146c03fa-1b8e-4cd7-a89f-dcc326121256
Pharmacologic class
HMG-CoA Reductase 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

N400904589161 followed by a unit qualifier and the quantity

Package 00904-5891-61. 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 ANDA 076341

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

FDA NDC Directory listings under ANDA 076341
ProductStrengthForm · routeLabelerProduct NDC
Pravastatin SodiumPravastatin sodium 20 mg/1TabletOralREMEDYREPACK INC.70518-1938
Pravastatin SodiumPravastatin sodium 10 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8618
Pravastatin SodiumPravastatin sodium 40 mg/1TabletOralCardinal Health 107, LLC55154-7998
Pravastatin SodiumPravastatin sodium 80 mg/1TabletOralNorthwind Health Company, LLC51655-976
Pravastatin SodiumPravastatin sodium 10 mg/1TabletOralBryant Ranch Prepack63629-8833
Pravastatin SodiumPravastatin sodium 40 mg/1TabletOralBryant Ranch Prepack63629-8835
Pravastatin SodiumPravastatin sodium 80 mg/1TabletOralBryant Ranch Prepack63629-8836
Pravastatin SodiumPravastatin sodium 10 mg/1TabletOralREMEDYREPACK INC.70518-0549
Pravastatin SodiumPravastatin sodium 20 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8619
Pravastatin SodiumPravastatin sodium 40 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-7009
Pravastatin SodiumPravastatin sodium 40 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8620
Pravastatin SodiumPravastatin sodium 20 mg/1TabletOralMajor Pharmaceuticals0904-5892
Pravastatin SodiumPravastatin sodium 80 mg/1TabletOralA-S Medication Solutions50090-3204
Pravastatin SodiumPravastatin sodium 80 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8621
Pravastatin SodiumPravastatin sodium 80 mg/1TabletOralDIRECT RX72189-119
Pravastatin SodiumPravastatin sodium 20 mg/1TabletOralBryant Ranch Prepack71335-1022
Pravastatin SodiumPravastatin sodium 40 mg/1TabletOralREMEDYREPACK INC.70518-0876
Pravastatin SodiumPravastatin sodium 20 mg/1TabletOralBryant Ranch Prepack71335-2908
Pravastatin SodiumPravastatin sodium 40 mg/1TabletOralA-S Medication Solutions50090-2024
Pravastatin SodiumPravastatin sodium 20 mg/1TabletOralA-S Medication Solutions50090-2025

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Pravastatin Sodium NDC 0904-5891 | Med-Code