NDC codes

FDA NDC Directory
Product NDC (as listed)0904-6624Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-6624Add 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
0904-6624-6100904662461100 BLISTER PACK in 1 CARTON (0904-6624-61) / 1 CAPSULE in 1 BLISTER PACKMarketed from May 14, 2010

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)
Tacrolimus
Generic name (nonproprietary)
tacrolimus
Active ingredients
Tacrolimus5 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090509
Marketing start
Listing expires
Other FDA classes
Calcineurin Inhibitors (Mechanism)
Identifiers
Product ID 0904-6624_f198313f-4b80-4469-b81e-de3ec7fe2bf2SPL ID f198313f-4b80-4469-b81e-de3ec7fe2bf2SPL set ID 0addf3f5-9bd5-4ef3-8c7f-52be20c16cf9RxCUI 198378, 313190UNII WM0HAQ4WNM
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

N400904662461 followed by a unit qualifier and the quantity

Package 00904-6624-61. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

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

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090509

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

FDA NDC Directory listings under ANDA 090509
ProductStrengthForm · routeLabelerProduct NDC
TacrolimusTacrolimus 1 mg/1CapsuleOralQuallent Pharmaceuticals Health LLC82009-054
TacrolimusTacrolimus 5 mg/1CapsuleOralAmerican Health Packaging68084-451
TacrolimusTacrolimus .5 mg/1CapsuleOralAmerican Health Packaging68084-449
TacrolimusTacrolimus 1 mg/1CapsuleOralAmerican Health Packaging68084-450
TacrolimusTacrolimus 5 mg/1CapsuleOralQuallent Pharmaceuticals Health LLC82009-165
TacrolimusTacrolimus .5 mg/1CapsuleOralQuallent Pharmaceuticals Health LLC82009-164
TacrolimusTacrolimus .5 mg/1CapsuleOralAvPAK50268-736
TacrolimusTacrolimus 1 mg/1CapsuleOralAvPAK50268-737
TacrolimusTacrolimus 5 mg/1CapsuleOralDr. Reddy's Laboratories Limited55111-527
TacrolimusTacrolimus .5 mg/1CapsuleOralDr. Reddy's Laboratories Limited55111-525
TacrolimusTacrolimus 1 mg/1CapsuleOralDr. Reddy's Laboratories Limited55111-526
TacrolimusTacrolimus .5 mg/1CapsuleOralMajor Pharmaceuticals0904-6623

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