NDC codes

FDA NDC Directory
Product NDC (as listed)0904-6831Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-6831Add 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
0904-6831-04009046831040090468310430 BLISTER PACK in 1 CARTON (0904-6831-04) / 1 TABLET in 1 BLISTER PACKMarketed from Aug 31, 2017
0904-6831-06009046831060090468310650 BLISTER PACK in 1 CARTON (0904-6831-06) / 1 TABLET in 1 BLISTER PACKMarketed from Aug 31, 2017

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)
Metaxalone
Generic name (nonproprietary)
metaxalone
Active ingredients
Metaxalone — 800 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Major PharmaceuticalsNDC labeler code 0904
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207466
Marketing start
Listing expires
Other FDA classes
Centrally-mediated Muscle Relaxation (Physiologic effect)
Identifiers
Product ID 0904-6831_6c542137-1ac8-4d4e-bca2-16ec8827d59eSPL ID 6c542137-1ac8-4d4e-bca2-16ec8827d59eSPL set ID 8c1e10fe-0330-4bf8-a94d-aeed80f6aef1RxCUI 351254UNII 1NMA9J598Y
Pharmacologic class
Muscle Relaxant

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

N400904683104 followed by a unit qualifier and the quantity

Package 00904-6831-04. 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 .

Indications (excerpt from the label)

Metaxalone tablets are indicated as an adjunct to rest, physical therapy, and other measures for the relief of discomfort associated with acute, painful musculoskeletal conditions in adults and pediatric patients 13 years of age and older. Metaxalone tablet is a muscle relaxant indicated as an adjunct to rest, physical therapy, and other measures for the relief of discomforts associated with acute, painful musculoskeletal conditions in adults and pediatric patients 13 years of age and older. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0904-6831

What is NDC 0904-6831?
0904-6831 is the product NDC for Metaxalone, Metaxalone 800 mg/1 tablet, listed with the FDA by Major Pharmaceuticals. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Metaxalone.
What is the active ingredient?
Metaxalone.
Who is the labeler?
Major Pharmaceuticals, NDC labeler code 0904. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Metaxalone?
62 other product NDCs are listed under this name. See all Metaxalone NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Metaxalone NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
MetaxaloneMetaxalone 400 mg/1TabletOralBlue Heron Pharmaceuticals, LLC85622-95085622-0950-10
MetaxaloneMetaxalone 800 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-416868788-4168-0168788-4168-0368788-4168-06+2 more
MetaxaloneMetaxalone 800 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-058080425-0580-0180425-0580-0280425-0580-03
MetaxaloneMetaxalone 800 mg/1TabletOralAvKARE42291-98542291-0985-50
MetaxaloneMetaxalone 800 mg/1TabletOralAvKARE42291-98542291-0985-01
MetaxaloneMetaxalone 800 mg/1TabletOralREMEDYREPACK INC.70518-455970518-4559-0070518-4559-01
MetaxaloneMetaxalone 800 mg/1TabletOralDirect_Rx72189-64572189-0645-3072189-0645-6072189-0645-90
MetaxaloneMetaxalone 800 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-052480425-0524-0180425-0524-0280425-0524-03
MetaxaloneMetaxalone 640 mg/1TabletOralINA Pharmaceutics Inc74157-01874157-0018-60
MetaxaloneMetaxalone 800 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-867868788-8678-0168788-8678-09

All 63 Metaxalone NDCs

Other NDCs under ANDA 207466

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

FDA NDC Directory listings under ANDA 207466
ProductStrengthForm · routeLabelerProduct NDC
MetaxaloneMetaxalone 400 mg/1TabletOralMisemer Pharmaceuticals, Inc.0276-0508
MetaxaloneMetaxalone 800 mg/1TabletOralScieGen Pharmaceuticals, Inc.50228-323
MetaxaloneMetaxalone 400 mg/1TabletOralScieGen Pharmaceuticals, Inc.50228-474
MetaxaloneMetaxalone 800 mg/1TabletOralNorthwind Health Company, LLC51655-171
MetaxaloneMetaxalone 800 mg/1TabletOralDr. Reddys Laboratories Limited55111-650
MetaxaloneMetaxalone 800 mg/1TabletOralAmerican Health Packaging60687-663
MetaxaloneMetaxalone 800 mg/1TabletOralBluePoint Laboratories68001-485
MetaxaloneMetaxalone 800 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-4168
MetaxaloneMetaxalone 800 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8678
MetaxaloneMetaxalone 400 mg/1TabletOralCIPLA USA INC.69097-998
MetaxaloneMetaxalone 800 mg/1TabletOralREMEDYREPACK INC.70518-4559
MetaxaloneMetaxalone 800 mg/1TabletOralProficient Rx LP71205-016
MetaxaloneMetaxalone 800 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-028
MetaxaloneMetaxalone 800 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-592
MetaxaloneMetaxalone 800 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0524
MetaxaloneMetaxalone 800 mg/1TabletOralAdvanced Rx of Tennessee, LLC80425-0580
MetaxaloneMetaxalone 400 mg/1TabletOralBlue Heron Pharmaceuticals, LLC85622-950
MetaxaloneMetaxalone 400 mg/1TabletOralHighmark Pharma LLC87450-101

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