NDC codes

FDA NDC Directory
Product NDC (as listed)21130-102Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0102Add 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
21130-102-0021130010200211300102001 KIT in 1 CARTON (21130-102-00) * 3 BLISTER PACK in 1 KIT / 1 SUPPOSITORY in 1 BLISTER PACK * 1 TUBE in 1 KIT / 9 g in 1 TUBEMarketed from Oct 6, 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)
Signature Care Miconazole 3
Generic name (nonproprietary)
miconazole nitrate
Dosage form
Kit
Labeler
SafewayNDC labeler code 21130
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075329
Marketing start
Listing expires
Identifiers
Product ID 21130-102_23910e7b-3d16-4eb8-965b-d1c30a08020dSPL ID 23910e7b-3d16-4eb8-965b-d1c30a08020dSPL set ID 191e448b-0410-4102-82ae-a3387b27b227RxCUI 992765, 992766, 998540

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

N421130010200 followed by a unit qualifier and the quantity

Package 21130-0102-00. 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)

Uses • treats vaginal yeast infections • relieves external itching and irritation due to a vaginal yeast infection

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 21130-102

What is NDC 21130-102?
21130-102 is the product NDC for Signature Care Miconazole 3 (miconazole nitrate) kit, listed with the FDA by Safeway. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Signature Care Miconazole 3 (Miconazole nitrate).
Who is the labeler?
Safeway, NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Signature Care Miconazole 3?
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 075329

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

FDA NDC Directory listings under ANDA 075329
ProductStrengthForm · routeLabelerProduct NDC
CareOne Miconazole 3miconazole nitrate—KitAmerican Sales Company41520-154
dg health miconazole 3miconazole nitrate—KitDolgencorp Inc55910-081
Equaline Miconazole 3miconazole nitrate—KitUnited Natural Foods, Inc. dba UNFI41163-081
Equate Miconazole 3miconazole nitrate—KitWALMART INC.79903-241
Foster and Thrive Miconazole 3miconazole nitrate—KitStrategic Sourcing Services LLC70677-1226
Good Neighbor Pharmacy Miconazole 3miconazole nitrate—KitAmerisource Bergen24385-606
Good Sense Miconazole 3miconazole nitrate—KitL. Perrigo Company0113-0081
miconazole 3miconazole nitrate—KitRite Aid Corporation11822-0209
Miconazole 3miconazole nitrate—KitSafeway21130-759
miconazole 3miconazole nitrate—KitKroger Company30142-081
miconazole 3miconazole nitrate—KitH E B37808-242
miconazole 3miconazole nitrate—KitMeijer Distribution Inc41250-081
Miconazole 3miconazole nitrate—KitCVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED51316-689
miconazole 3 daymiconazole nitrate—KitPublix Super Markets Inc56062-081
topcare miconazole 3 combination packmiconazole nitrate—KitTopco Associates LLC36800-081
Vagistat 3miconazole nitrate—KitCombe Incorporated11509-0081

Free account

Log in to keep searching

You’ve used your 3 free searches. Med-Code is free: log in or create a free profile to keep looking up NDCs, J-codes and drugs.

Create a free profileLog in