Active substance: Everolimus
Generic formulation (Everolimus) NDC 17088-0142 converts to 17088-0142-01 for billing. It is dispensed by a pharmacy and billed directly on the NDC — no HCPCS J-code is required.
| Formulation / role | Package NDC | Product NDC | 11-digit HIPAA | Packaging detail | Copy |
|---|---|---|---|---|---|
| .25 mg/1 | 63850-0062-2 | 63850-0062 | 63850-0062-02 | 6 BLISTER PACK in 1 CARTON (63850-0062-2) / 10 TABLET in 1 BLISTER PACK (63850-0062-3) | |
| Inner component | 63850-0062-3 | 63850-0062 | 63850-0062-03 | Inner component of kit (63850-0062-2) | |
| .25 mg/1 | 63850-0062-6 | 63850-0062 | 63850-0062-06 | 60 TABLET in 1 BOTTLE (63850-0062-6) | |
| 5 mg/1 | 63850-0059-1 | 63850-0059 | 63850-0059-01 | 4 BLISTER PACK in 1 CARTON (63850-0059-1) / 7 TABLET in 1 BLISTER PACK | |
| 5 mg/1 | 63850-0059-4 | 63850-0059 | 63850-0059-04 | 30 TABLET in 1 BOTTLE (63850-0059-4) | |
| 7.5 mg/1 | 63850-0060-1 | 63850-0060 | 63850-0060-01 | 4 BLISTER PACK in 1 CARTON (63850-0060-1) / 7 TABLET in 1 BLISTER PACK | |
| 7.5 mg/1 | 63850-0060-4 | 63850-0060 | 63850-0060-04 | 30 TABLET in 1 BOTTLE (63850-0060-4) | |
| 10 mg/1 | 63850-0061-1 | 63850-0061 | 63850-0061-01 | 4 BLISTER PACK in 1 CARTON (63850-0061-1) / 7 TABLET in 1 BLISTER PACK | |
| 10 mg/1 | 63850-0061-4 | 63850-0061 | 63850-0061-04 | 30 TABLET in 1 BOTTLE (63850-0061-4) | |
| 2.5 mg/1 | 0054-0480-13 | 0054-0480 | 00054-0480-13 | 30 TABLET in 1 BOTTLE (0054-0480-13) | |
| 2.5 mg/1 | 70377-010-11 | 70377-010 | 70377-0010-11 | 30 TABLET in 1 BOTTLE (70377-010-11) | |
| 2.5 mg/1 | 70377-010-22 | 70377-010 | 70377-0010-22 | 4 BLISTER PACK in 1 CARTON (70377-010-22) / 7 TABLET in 1 BLISTER PACK | |
| 2.5 mg/1 | 70377-010-23 | 70377-010 | 70377-0010-23 | 4 BLISTER PACK in 1 CARTON (70377-010-23) / 7 TABLET in 1 BLISTER PACK | |
| 10 mg/1 | 70377-013-11 | 70377-013 | 70377-0013-11 | 30 TABLET in 1 BOTTLE (70377-013-11) | |
| 10 mg/1 | 70377-013-22 | 70377-013 | 70377-0013-22 | 4 BLISTER PACK in 1 CARTON (70377-013-22) / 7 TABLET in 1 BLISTER PACK | |
| 10 mg/1 | 70377-013-23 | 70377-013 | 70377-0013-23 | 4 BLISTER PACK in 1 CARTON (70377-013-23) / 7 TABLET in 1 BLISTER PACK | |
| 5 mg/1 | 70377-011-11 | 70377-011 | 70377-0011-11 | 30 TABLET in 1 BOTTLE (70377-011-11) | |
| 5 mg/1 | 70377-011-22 | 70377-011 | 70377-0011-22 | 4 BLISTER PACK in 1 CARTON (70377-011-22) / 7 TABLET in 1 BLISTER PACK | |
| 5 mg/1 | 70377-011-23 | 70377-011 | 70377-0011-23 | 4 BLISTER PACK in 1 CARTON (70377-011-23) / 7 TABLET in 1 BLISTER PACK | |
| 7.5 mg/1 | 70377-012-11 | 70377-012 | 70377-0012-11 | 30 TABLET in 1 BOTTLE (70377-012-11) | |
| 7.5 mg/1 | 70377-012-22 | 70377-012 | 70377-0012-22 | 4 BLISTER PACK in 1 CARTON (70377-012-22) / 7 TABLET in 1 BLISTER PACK | |
| 7.5 mg/1 | 70377-012-23 | 70377-012 | 70377-0012-23 | 4 BLISTER PACK in 1 CARTON (70377-012-23) / 7 TABLET in 1 BLISTER PACK | |
| 2.5 mg/1 | 0093-7766-24 | 0093-7766 | 00093-7766-24 | 28 BLISTER PACK in 1 CARTON (0093-7766-24) / 1 TABLET in 1 BLISTER PACK (0093-7766-19) | |
| Inner component | 0093-7766-19 | 0093-7766 | 00093-7766-19 | Inner component of kit (0093-7766-24) | |
| 2.5 mg/1 | 63850-0058-1 | 63850-0058 | 63850-0058-01 | 4 BLISTER PACK in 1 CARTON (63850-0058-1) / 7 TABLET in 1 BLISTER PACK | |
| 2.5 mg/1 | 63850-0058-4 | 63850-0058 | 63850-0058-04 | 30 TABLET in 1 BOTTLE (63850-0058-4) | |
| .25 mg/1 | 51991-379-06 | 51991-379 | 51991-0379-06 | 60 TABLET in 1 BOTTLE (51991-379-06) | |
| .25 mg/1 | 51991-379-60 | 51991-379 | 51991-0379-60 | 60 BLISTER PACK in 1 CARTON (51991-379-60) / 10 TABLET in 1 BLISTER PACK (51991-379-99) | |
| Inner component | 51991-379-99 | 51991-379 | 51991-0379-99 | Inner component of kit (51991-379-60) | |
| .5 mg/1 | 51991-380-06 | 51991-380 | 51991-0380-06 | 60 TABLET in 1 BOTTLE (51991-380-06) | |
| .5 mg/1 | 51991-380-60 | 51991-380 | 51991-0380-60 | 60 BLISTER PACK in 1 CARTON (51991-380-60) / 10 TABLET in 1 BLISTER PACK (51991-380-99) | |
| Inner component | 51991-380-99 | 51991-380 | 51991-0380-99 | Inner component of kit (51991-380-60) | |
| .75 mg/1 | 51991-381-06 | 51991-381 | 51991-0381-06 | 60 TABLET in 1 BOTTLE (51991-381-06) | |
| .75 mg/1 | 51991-381-60 | 51991-381 | 51991-0381-60 | 60 BLISTER PACK in 1 CARTON (51991-381-60) / 10 TABLET in 1 BLISTER PACK (51991-381-99) | |
| Inner component | 51991-381-99 | 51991-381 | 51991-0381-99 | Inner component of kit (51991-381-60) | |
| 7.5 mg/1 | 0093-7768-24 | 0093-7768 | 00093-7768-24 | 28 BLISTER PACK in 1 CARTON (0093-7768-24) / 1 TABLET in 1 BLISTER PACK (0093-7768-19) | |
| Inner component | 0093-7768-19 | 0093-7768 | 00093-7768-19 | Inner component of kit (0093-7768-24) | |
| 2.5 mg/1 | 51991-821-28 | 51991-821 | 51991-0821-28 | 4 BLISTER PACK in 1 CARTON (51991-821-28) / 7 TABLET in 1 BLISTER PACK (51991-821-99) | |
| Inner component | 51991-821-99 | 51991-821 | 51991-0821-99 | Inner component of kit (51991-821-28) | |
| 2.5 mg/1 | 51991-821-33 | 51991-821 | 51991-0821-33 | 30 TABLET in 1 BOTTLE (51991-821-33) | |
| 5 mg/1 | 51991-822-28 | 51991-822 | 51991-0822-28 | 4 BLISTER PACK in 1 CARTON (51991-822-28) / 7 TABLET in 1 BLISTER PACK (51991-822-99) | |
| Inner component | 51991-822-99 | 51991-822 | 51991-0822-99 | Inner component of kit (51991-822-28) | |
| 5 mg/1 | 51991-822-33 | 51991-822 | 51991-0822-33 | 30 TABLET in 1 BOTTLE (51991-822-33) | |
| 7.5 mg/1 | 51991-823-28 | 51991-823 | 51991-0823-28 | 4 BLISTER PACK in 1 CARTON (51991-823-28) / 7 TABLET in 1 BLISTER PACK (51991-823-99) | |
| Inner component | 51991-823-99 | 51991-823 | 51991-0823-99 | Inner component of kit (51991-823-28) | |
| 7.5 mg/1 | 51991-823-33 | 51991-823 | 51991-0823-33 | 30 TABLET in 1 BOTTLE (51991-823-33) | |
| 10 mg/1 | 51991-824-28 | 51991-824 | 51991-0824-28 | 4 BLISTER PACK in 1 CARTON (51991-824-28) / 7 TABLET in 1 BLISTER PACK (51991-824-99) | |
| Inner component | 51991-824-99 | 51991-824 | 51991-0824-99 | Inner component of kit (51991-824-28) | |
| 10 mg/1 | 51991-824-33 | 51991-824 | 51991-0824-33 | 30 TABLET in 1 BOTTLE (51991-824-33) | |
| .75 mg/1 | 70377-071-11 | 70377-071 | 70377-0071-11 | 60 TABLET in 1 BOTTLE (70377-071-11) | |
| .75 mg/1 | 70377-071-12 | 70377-071 | 70377-0071-12 | 6 BLISTER PACK in 1 CARTON (70377-071-12) / 10 TABLET in 1 BLISTER PACK | |
| .25 mg/1 | 70377-069-11 | 70377-069 | 70377-0069-11 | 60 TABLET in 1 BOTTLE (70377-069-11) | |
| .25 mg/1 | 70377-069-12 | 70377-069 | 70377-0069-12 | 6 BLISTER PACK in 1 CARTON (70377-069-12) / 10 TABLET in 1 BLISTER PACK | |
| .5 mg/1 | 70377-070-11 | 70377-070 | 70377-0070-11 | 60 TABLET in 1 BOTTLE (70377-070-11) | |
| .5 mg/1 | 70377-070-21 | 70377-070 | 70377-0070-21 | 6 BLISTER PACK in 1 CARTON (70377-070-21) / 10 TABLET in 1 BLISTER PACK | |
| 10 mg/1 | 0093-7769-24 | 0093-7769 | 00093-7769-24 | 28 BLISTER PACK in 1 CARTON (0093-7769-24) / 1 TABLET in 1 BLISTER PACK (0093-7769-19) | |
| Inner component | 0093-7769-19 | 0093-7769 | 00093-7769-19 | Inner component of kit (0093-7769-24) | |
| 2 mg/1 | 51991-990-28 | 51991-990 | 51991-0990-28 | 4 BLISTER PACK in 1 CARTON (51991-990-28) / 7 TABLET, FOR SUSPENSION in 1 BLISTER PACK (51991-990-99) | |
| Inner component | 51991-990-99 | 51991-990 | 51991-0990-99 | Inner component of kit (51991-990-28) | |
| 2 mg/1 | 51991-990-77 | 51991-990 | 51991-0990-77 | 28 TABLET, FOR SUSPENSION in 1 BOTTLE (51991-990-77) | |
| 3 mg/1 | 70377-091-11 | 70377-091 | 70377-0091-11 | 28 TABLET, FOR SUSPENSION in 1 BOTTLE (70377-091-11) | |
| 3 mg/1 | 70377-091-23 | 70377-091 | 70377-0091-23 | 4 BLISTER PACK in 1 CARTON (70377-091-23) / 7 TABLET, FOR SUSPENSION in 1 BLISTER PACK | |
| 1 mg/1 | 51991-985-06 | 51991-985 | 51991-0985-06 | 60 TABLET in 1 BOTTLE (51991-985-06) | |
| 1 mg/1 | 51991-985-99 | 51991-985 | 51991-0985-99 | 60 BLISTER PACK in 1 CARTON (51991-985-99) / 10 TABLET in 1 BLISTER PACK (51991-985-60) | |
| Inner component | 51991-985-60 | 51991-985 | 51991-0985-60 | Inner component of kit (51991-985-99) | |
| 2 mg/1 | 70377-090-11 | 70377-090 | 70377-0090-11 | 28 TABLET, FOR SUSPENSION in 1 BOTTLE (70377-090-11) | |
| 2 mg/1 | 70377-090-23 | 70377-090 | 70377-0090-23 | 4 BLISTER PACK in 1 CARTON (70377-090-23) / 7 TABLET, FOR SUSPENSION in 1 BLISTER PACK | |
| 3 mg/1 | 51991-991-28 | 51991-991 | 51991-0991-28 | 4 BLISTER PACK in 1 CARTON (51991-991-28) / 7 TABLET, FOR SUSPENSION in 1 BLISTER PACK (51991-991-99) | |
| Inner component | 51991-991-99 | 51991-991 | 51991-0991-99 | Inner component of kit (51991-991-28) | |
| 3 mg/1 | 51991-991-77 | 51991-991 | 51991-0991-77 | 28 TABLET, FOR SUSPENSION in 1 BOTTLE (51991-991-77) | |
| 5 mg/1 | 70377-092-11 | 70377-092 | 70377-0092-11 | 28 TABLET, FOR SUSPENSION in 1 BOTTLE (70377-092-11) | |
| 5 mg/1 | 70377-092-23 | 70377-092 | 70377-0092-23 | 4 BLISTER PACK in 1 CARTON (70377-092-23) / 7 TABLET, FOR SUSPENSION in 1 BLISTER PACK | |
| 5 mg/1 | 51991-992-28 | 51991-992 | 51991-0992-28 | 4 BLISTER PACK in 1 CARTON (51991-992-28) / 7 TABLET, FOR SUSPENSION in 1 BLISTER PACK (51991-992-99) | |
| Inner component | 51991-992-99 | 51991-992 | 51991-0992-99 | Inner component of kit (51991-992-28) | |
| 5 mg/1 | 51991-992-77 | 51991-992 | 51991-0992-77 | 28 TABLET, FOR SUSPENSION in 1 BOTTLE (51991-992-77) | |
| .75 mg/1 | 49884-160-02 | 49884-160 | 49884-0160-02 | 6 BLISTER PACK in 1 CARTON (49884-160-02) / 10 TABLET in 1 BLISTER PACK (49884-160-52) | |
| Inner component | 49884-160-52 | 49884-160 | 49884-0160-52 | Inner component of kit (49884-160-02) | |
| .5 mg/1 | 59651-932-60 | 59651-932 | 59651-0932-60 | 60 TABLET in 1 BOTTLE (59651-932-60) | |
| 7.5 mg/1 | 0054-0497-13 | 0054-0497 | 00054-0497-13 | 30 TABLET in 1 BOTTLE (0054-0497-13) | |
| .25 mg/1 | 49884-158-02 | 49884-158 | 49884-0158-02 | 6 BLISTER PACK in 1 CARTON (49884-158-02) / 10 TABLET in 1 BLISTER PACK (49884-158-52) | |
| Inner component | 49884-158-52 | 49884-158 | 49884-0158-52 | Inner component of kit (49884-158-02) | |
| 1 mg/1 | 70377-112-11 | 70377-112 | 70377-0112-11 | 60 TABLET in 1 BOTTLE (70377-112-11) | |
| 1 mg/1 | 70377-112-21 | 70377-112 | 70377-0112-21 | 6 BLISTER PACK in 1 CARTON (70377-112-21) / 10 TABLET in 1 BLISTER PACK | |
| .5 mg/1 | 49884-159-02 | 49884-159 | 49884-0159-02 | 6 BLISTER PACK in 1 CARTON (49884-159-02) / 10 TABLET in 1 BLISTER PACK (49884-159-52) | |
| Inner component | 49884-159-52 | 49884-159 | 49884-0159-52 | Inner component of kit (49884-159-02) | |
| .25 mg/1 | 59651-931-60 | 59651-931 | 59651-0931-60 | 60 TABLET in 1 BOTTLE (59651-931-60) | |
| .75 mg/1 | 59651-933-60 | 59651-933 | 59651-0933-60 | 60 TABLET in 1 BOTTLE (59651-933-60) | |
| 1 mg/1 | 59651-934-60 | 59651-934 | 59651-0934-60 | 60 TABLET in 1 BOTTLE (59651-934-60) | |
| 1 mg/1 | 49884-283-02 | 49884-283 | 49884-0283-02 | 6 BLISTER PACK in 1 CARTON (49884-283-02) / 10 TABLET in 1 BLISTER PACK (49884-283-52) | |
| Inner component | 49884-283-52 | 49884-283 | 49884-0283-52 | Inner component of kit (49884-283-02) | |
| 5 mg/1 | 0054-0481-13 | 0054-0481 | 00054-0481-13 | 30 TABLET in 1 BOTTLE (0054-0481-13) | |
| 1 mg/1 | 63850-0107-2 | 63850-0107 | 63850-0107-02 | 60 BLISTER PACK in 1 CARTON (63850-0107-2) / 10 TABLET in 1 BLISTER PACK (63850-0107-1) | |
| Inner component | 63850-0107-1 | 63850-0107 | 63850-0107-01 | Inner component of kit (63850-0107-2) | |
| 1 mg/1 | 63850-0107-3 | 63850-0107 | 63850-0107-03 | 60 TABLET in 1 BOTTLE (63850-0107-3) | |
| 5 mg/1 | 0093-7767-24 | 0093-7767 | 00093-7767-24 | 28 BLISTER PACK in 1 CARTON (0093-7767-24) / 1 TABLET in 1 BLISTER PACK (0093-7767-19) | |
| Inner component | 0093-7767-19 | 0093-7767 | 00093-7767-19 | Inner component of kit (0093-7767-24) | |
| .5 mg/1 | 63850-0063-2 | 63850-0063 | 63850-0063-02 | 6 BLISTER PACK in 1 CARTON (63850-0063-2) / 10 TABLET in 1 BLISTER PACK (63850-0063-3) | |
| Inner component | 63850-0063-3 | 63850-0063 | 63850-0063-03 | Inner component of kit (63850-0063-2) | |
| .5 mg/1 | 63850-0063-6 | 63850-0063 | 63850-0063-06 | 60 TABLET in 1 BOTTLE (63850-0063-6) | |
| .75 mg/1 | 63850-0064-2 | 63850-0064 | 63850-0064-02 | 6 BLISTER PACK in 1 CARTON (63850-0064-2) / 10 TABLET in 1 BLISTER PACK | |
| .75 mg/1 | 63850-0064-6 | 63850-0064 | 63850-0064-06 | 60 TABLET in 1 BOTTLE (63850-0064-6) | |
| .5 mg/1 | 0054-0471-21 | 0054-0471 | 00054-0471-21 | 60 TABLET in 1 BOTTLE (0054-0471-21) | |
| 2.5 mg/1 | 82293-030-10 | 82293-030 | 82293-0030-10 | 28 TABLET in 1 BOTTLE (82293-030-10) | |
| 2.5 mg/1 | 82293-030-21 | 82293-030 | 82293-0030-21 | 4 BLISTER PACK in 1 CARTON (82293-030-21) / 7 TABLET in 1 BLISTER PACK (82293-030-20) | |
| Inner component | 82293-030-20 | 82293-030 | 82293-0030-20 | Inner component of kit (82293-030-21) | |
| 2.5 mg/1 | 82293-030-31 | 82293-030 | 82293-0030-31 | 1 POUCH in 1 CARTON (82293-030-31) / 3 BLISTER PACK in 1 POUCH / 10 TABLET in 1 BLISTER PACK (82293-030-30) | |
| Inner component | 82293-030-30 | 82293-030 | 82293-0030-30 | Inner component of kit (82293-030-31) | |
| 5 mg/1 | 82293-031-10 | 82293-031 | 82293-0031-10 | 28 TABLET in 1 BOTTLE (82293-031-10) | |
| 5 mg/1 | 82293-031-21 | 82293-031 | 82293-0031-21 | 4 BLISTER PACK in 1 CARTON (82293-031-21) / 7 TABLET in 1 BLISTER PACK (82293-031-20) | |
| Inner component | 82293-031-20 | 82293-031 | 82293-0031-20 | Inner component of kit (82293-031-21) | |
| 5 mg/1 | 82293-031-31 | 82293-031 | 82293-0031-31 | 1 POUCH in 1 CARTON (82293-031-31) / 3 BLISTER PACK in 1 POUCH / 10 TABLET in 1 BLISTER PACK (82293-031-30) | |
| Inner component | 82293-031-30 | 82293-031 | 82293-0031-30 | Inner component of kit (82293-031-31) | |
| 7.5 mg/1 | 82293-032-10 | 82293-032 | 82293-0032-10 | 28 TABLET in 1 BOTTLE (82293-032-10) | |
| 7.5 mg/1 | 82293-032-21 | 82293-032 | 82293-0032-21 | 4 BLISTER PACK in 1 CARTON (82293-032-21) / 7 TABLET in 1 BLISTER PACK (82293-032-20) | |
| Inner component | 82293-032-20 | 82293-032 | 82293-0032-20 | Inner component of kit (82293-032-21) | |
| 7.5 mg/1 | 82293-032-31 | 82293-032 | 82293-0032-31 | 1 POUCH in 1 CARTON (82293-032-31) / 3 BLISTER PACK in 1 POUCH / 10 TABLET in 1 BLISTER PACK (82293-032-30) | |
| Inner component | 82293-032-30 | 82293-032 | 82293-0032-30 | Inner component of kit (82293-032-31) | |
| .75 mg/1 | 0054-0472-21 | 0054-0472 | 00054-0472-21 | 60 TABLET in 1 BOTTLE (0054-0472-21) |
Taken from the manufacturer's FDA Structured Product Labeling submission. This is the label as filed, not a summary. Initial U.S. approval: 2023.
These highlights do not include all the information needed to use Generic formulation safely and effectively. The full sections follow.