NDC codes

FDA NDC Directory
Product NDC (as listed)0904-6808Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-6808Add 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
0904-6808-060090468080650 BLISTER PACK in 1 CARTON (0904-6808-06) / 1 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Sep 10, 2014
0904-6808-6100904680861100 BLISTER PACK in 1 CARTON (0904-6808-61) / 1 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Sep 10, 2014

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)
Montelukast Sodium
Generic name (nonproprietary)
montelukast sodium
Active ingredients
Montelukast sodium — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202843
Marketing start
Listing expires
Other FDA classes
Leukotriene Receptor Antagonists (Mechanism)
Identifiers
Product ID 0904-6808_4a289de2-d2e7-416d-9168-7f79cbff500bSPL ID 4a289de2-d2e7-416d-9168-7f79cbff500bSPL set ID a4dc63cf-8145-42f4-9437-93b414d2aed4RxCUI 200224UNII U1O3J18SFL
Pharmacologic class
Leukotriene Receptor Antagonist

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

N400904680806 followed by a unit qualifier and the quantity

Package 00904-6808-06. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 202843

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

FDA NDC Directory listings under ANDA 202843
ProductStrengthForm · routeLabelerProduct NDC
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralAvPAK50268-556
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-8075
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralDirect_Rx72189-418
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralPreferred Pharmaceuticals, Inc.68788-8099
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-563
Montelukastmontelukast sodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6109
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6108
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralXLCare Pharmaceuticals Inc.72865-175
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-3133
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-1979
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralQuallent Pharmaceuticals Health LLC82009-009
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralCamber Pharmaceuticals, Inc.31722-726

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in