NDC codes

FDA NDC Directory
Product NDC (as listed)16714-404Labeler and product segments. Claims need a package NDC.
Product NDC at billing width16714-0404Add 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
16714-404-0116714040401167140404011 BLISTER PACK in 1 PACKET (16714-404-01) / 1 KIT in 1 BLISTER PACKMarketed from Sep 13, 2013
16714-404-0216714040402167140404021 BLISTER PACK in 1 CARTON (16714-404-02) / 1 KIT in 1 BLISTER PACKMarketed from Sep 13, 2013
16714-404-0316714040403167140404033 BLISTER PACK in 1 CARTON (16714-404-03) / 1 KIT in 1 BLISTER PACKMarketed from Sep 13, 2013
16714-404-0416714040404167140404046 BLISTER PACK in 1 CARTON (16714-404-04) / 1 KIT in 1 BLISTER PACKMarketed from Sep 13, 2013

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)
Pimtrea
Generic name (nonproprietary)
desogestrel/ethinyl estradiol and ethinyl estradiol
Dosage form
Kit
Labeler
Northstar Rx LLCNDC labeler code 16714
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091247
Marketing start
Listing expires
Identifiers
Product ID 16714-404_12f60f95-d164-4964-bf6a-dc3cfb42bac0SPL ID 12f60f95-d164-4964-bf6a-dc3cfb42bac0SPL set ID b716fd2a-b186-447a-85bd-6302284d14e5RxCUI 248310, 249357, 748797, 759743, 1438778

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N416714040401 followed by a unit qualifier and the quantity

Package 16714-0404-01. 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

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

Indications (excerpt from the label)

INDICATIONS AND USAGE PIMTREA TM (Desogestrel and Ethinyl Estradiol Tablets, USP and Ethinyl Estradiol Tablets, USP) is indicated for the prevention of pregnancy in women who elect to use this product as a method of contraception. Oral contraceptives are highly effective. Table II lists the typical accidental pregnancy rates for users of combination oral contraceptives and other methods of contraception. The efficacy of these contraceptive methods, except sterilization, depends upon the reliability with which they are used. Correct and consistent use of these methods can result in lower failure rates. Adapted from Hatcher et al., 1998, Ref#1. 1 Among typical couples who initiate use of a met…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 16714-404

What is NDC 16714-404?
16714-404 is the product NDC for Pimtrea kit, listed with the FDA by Northstar Rx LLC. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pimtrea (Desogestrel/ethinyl estradiol and ethinyl estradiol).
Who is the labeler?
Northstar Rx LLC, NDC labeler code 16714. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pimtrea?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under ANDA 091247

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

FDA NDC Directory listings under ANDA 091247
ProductStrengthForm · routeLabelerProduct NDC
Azurettedesogestrel/ethinyl estradiol and ethinyl estradiol—KitMayne Pharma Inc.51862-890
Azurettedesogestrel/ethinyl estradiol and ethinyl estradiol—KitDr. Reddys Laboratories Inc.75907-091

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