NDC codes

FDA NDC Directory
Product NDC (as listed)31722-680Labeler and product segments. Claims need a package NDC.
Product NDC at billing width31722-0680Add 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
31722-680-60317220680601 KIT in 1 KIT (31722-680-60) * 14 CAPSULE, DELAYED RELEASE in 1 BOTTLE * 46 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from Sep 24, 2020

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)
Dimethyl Fumarate
Generic name (nonproprietary)
dimethyl fumarate
Dosage form
Kit
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210500
Marketing start
Listing expires
Identifiers
Product ID 31722-680_1814ba82-76cc-c580-e063-6294a90a5e57SPL ID 1814ba82-76cc-c580-e063-6294a90a5e57SPL set ID b856ac70-71cd-477b-95b1-0a6132c260e8RxCUI 1373483, 1373491, 1373497UNII FO2303MNI2UPC 0331722657310, 0331722658324, 0331722658317

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

N431722068060 followed by a unit qualifier and the quantity

Package 31722-0680-60. 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)

Dimethyl fumarate delayed-release capsules are indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. Dimethyl fumarate delayed-release capsules are indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 210500

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

FDA NDC Directory listings under ANDA 210500
ProductStrengthForm · routeLabelerProduct NDC
Dimethyl FumarateDimethyl fumarate 240 mg/1Capsule, Delayed releaseOralQuallent Pharmaceuticals Health LLC82009-138
Dimethyl FumarateDimethyl fumarate 240 mg/1Capsule, Delayed releaseOralCamber Pharmaceuticals, Inc.31722-658
Dimethyl FumarateDimethyl fumarate 120 mg/1Capsule, Delayed releaseOralCamber Pharmaceuticals, Inc.31722-657
Dimethyl FumarateDimethyl fumarate 240 mg/1Capsule, Delayed releaseOralA-S Medication Solutions50090-5288

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