NDC codes

FDA NDC Directory
Product NDC (as listed)30698-455Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30698-0455Add 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
30698-455-013069804550130698045501300 mL in 1 BOTTLE (30698-455-01)Marketed from Nov 26, 2024
30698-455-023069804550230698045502150 mL in 1 BOTTLE (30698-455-02)Marketed from Nov 26, 2024

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)
Raldesy TmSuffix: TM
Generic name (nonproprietary)
trazodone hydrochloride oral
Active ingredients
Trazodone hydrochloride — 10 mg/mL
Dosage form
Solution
Route
Oral
Labeler
Validus Pharmaceuticals LLCNDC labeler code 30698
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 218637
Marketing start
Listing expires
Identifiers
Product ID 30698-455_5a6b7808-40bf-ced4-e063-6294a90a4249SPL ID 5a6b7808-40bf-ced4-e063-6294a90a4249SPL set ID 34708cc1-b0b2-4fd0-b9f3-7f008b457fc9RxCUI 856381, 2699618UNII 6E8ZO8LRNMUPC 0330698455029
Pharmacologic class
Serotonin Reuptake Inhibitor

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

N430698045501 followed by a unit qualifier and the quantity

Package 30698-0455-01. 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)

RALDESY TM is indicated for the treatment of major depressive disorder (MDD) in adults. RALDESY is a selective serotonin reuptake inhibitor (SSRI) indicated for the treatment of major depressive disorder (MDD) in adults ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 30698-455

What is NDC 30698-455?
30698-455 is the product NDC for Raldesy Tm (trazodone hydrochloride oral), Trazodone hydrochloride 10 mg/mL solution, listed with the FDA by Validus Pharmaceuticals LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Raldesy Tm (Trazodone hydrochloride oral).
What is the active ingredient?
Trazodone hydrochloride.
Who is the labeler?
Validus Pharmaceuticals LLC, NDC labeler code 30698. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Raldesy Tm?
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.

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