NDC codes

FDA NDC Directory
Product NDC (as listed)0904-7087Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-7087Add 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
0904-7087-6100904708761100 BLISTER PACK in 1 CARTON (0904-7087-61) / 1 TABLET in 1 BLISTER PACKMarketed from Nov 29, 2016

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)
Clozapine
Generic name (nonproprietary)
clozapine
Active ingredients
Clozapine — 100 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206433
Marketing start
Listing expires
Identifiers
Product ID 0904-7087_3f7b2119-695f-4b57-b505-b07a8f9cc065SPL ID 3f7b2119-695f-4b57-b505-b07a8f9cc065SPL set ID 9db7aefb-f607-4158-a310-181e631bc648RxCUI 197535, 197536, 309374, 429212UNII J60AR2IKIC
Pharmacologic class
Atypical Antipsychotic

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

N400904708761 followed by a unit qualifier and the quantity

Package 00904-7087-61. 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)

Clozapine tablets are an atypical antipsychotic indicated for: • Treatment of severely ill patients with schizophrenia who fail to respond adequately to standard antipsychotic treatment. Because of the risks of severe neutropenia and of seizure associated with its use, clozapine tablets should be used only in patients who have failed to respond adequately to standard antipsychotic treatment. ( 1.1 ) • Reducing the risk of recurrent suicidal behavior in patients with schizophrenia or schizoaffective disorder who are judged to be at chronic risk for re-experiencing suicidal behavior. ( 1.2 ) 1.1 Treatment-Resistant Schizophrenia Clozapine tablets are indicated for the treatment of severely ill…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 206433

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

FDA NDC Directory listings under ANDA 206433
ProductStrengthForm · routeLabelerProduct NDC
ClozapineClozapine 100 mg/1TabletOralNorthStar Rx LLC72603-913
ClozapineClozapine 25 mg/1TabletOralNorthStar Rx LLC72603-911
ClozapineClozapine 50 mg/1TabletOralNorthStar Rx LLC72603-912
ClozapineClozapine 200 mg/1TabletOralNorthStar Rx LLC72603-914
ClozapineClozapine 50 mg/1TabletOralAmerican Health Packaging60687-548
ClozapineClozapine 100 mg/1TabletOralCardinal Health 107, LLC55154-3568
ClozapineClozapine 50 mg/1TabletOralAurobindo Pharma Limited65862-845
ClozapineClozapine 25 mg/1TabletOralAurobindo Pharma Limited65862-844
ClozapineClozapine 100 mg/1TabletOralAurobindo Pharma Limited65862-846
ClozapineClozapine 200 mg/1TabletOralAurobindo Pharma Limited65862-847
ClozapineClozapine 200 mg/1TabletOralMajor Pharmaceuticals0904-7088
ClozapineClozapine 25 mg/1TabletOralMajor Pharmaceuticals0904-7089
ClozapineClozapine 50 mg/1TabletOralMajor Pharmaceuticals0904-7406
ClozapineClozapine 25 mg/1TabletOralAmerican Health Packaging60687-404
ClozapineClozapine 100 mg/1TabletOralAmerican Health Packaging60687-415
ClozapineClozapine 200 mg/1TabletOralAmerican Health Packaging60687-426

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