NDC codes

FDA NDC Directory
Product NDC (as listed)13107-088Labeler and product segments. Claims need a package NDC.
Product NDC at billing width13107-0088Add 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
13107-088-0113107008801100 TABLET in 1 BOTTLE (13107-088-01)Marketed from Sep 15, 2015
13107-088-301310700883030 TABLET in 1 BOTTLE (13107-088-30)Marketed from Sep 15, 2015
13107-088-99131070088991000 TABLET in 1 BOTTLE (13107-088-99)Marketed from Sep 15, 2015

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Methadone Hydrochloride
Generic name (nonproprietary)
methadone hydrochloride
Active ingredients
Methadone hydrochloride — 5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203502
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Full Opioid Agonists (Mechanism)
Identifiers
Product ID 13107-088_73006026-6ba2-49da-824e-a4d05b99a2e7SPL ID 73006026-6ba2-49da-824e-a4d05b99a2e7SPL set ID 6984eb5a-57a3-4686-bc67-91bc3e7a531eRxCUI 864706, 864718UNII 229809935BUPC 0313107089015, 0313107088018
Pharmacologic class
Opioid Agonist

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

N413107008801 followed by a unit qualifier and the quantity

Package 13107-0088-01. 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

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