NDC codes

FDA NDC Directory
Product NDC (as listed)31722-728Labeler and product segments. Claims need a package NDC.
Product NDC at billing width31722-0728Add 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
31722-728-0131722072801100 TABLET, CHEWABLE in 1 BOTTLE (31722-728-01)Marketed from May 27, 2015
31722-728-10317220728101000 TABLET, CHEWABLE in 1 BOTTLE (31722-728-10)Marketed from May 27, 2015
31722-728-303172207283030 TABLET, CHEWABLE in 1 BOTTLE (31722-728-30)Marketed from May 27, 2015
31722-728-313172207283110 TABLET, CHEWABLE in 1 BLISTER PACK (31722-728-31)Marketed from May 27, 2015
31722-728-3231722072832100 TABLET, CHEWABLE in 1 CARTON (31722-728-32)Marketed from May 27, 2015
31722-728-903172207289090 TABLET, CHEWABLE in 1 BOTTLE (31722-728-90)Marketed from May 27, 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)
montelukast sodium
Generic name (nonproprietary)
montelukast sodium
Active ingredients
Montelukast — 5 mg/1
Dosage form
Tablet, Chewable
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204093
Marketing start
Listing expires
Other FDA classes
Leukotriene Receptor Antagonists (Mechanism)
Identifiers
Product ID 31722-728_c503ea71-c663-3cfc-e053-2a95a90a9aaaSPL ID c503ea71-c663-3cfc-e053-2a95a90a9aaaSPL set ID 23964723-2df8-4d0a-a53d-8538469672f1RxCUI 242438, 311759UNII MHM278SD3EUPC 0331722727303, 0331722728300
Pharmacologic class
Leukotriene Receptor Antagonist

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

N431722072801 followed by a unit qualifier and the quantity

Package 31722-0728-01. 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)

Montelukast sodium chewable tablets are a leukotriene receptor antagonist indicated for: • Prophylaxis and chronic treatment of asthma in patients 2 years of age and older ( 1.1 ). • Acute prevention of exercise-induced bronchoconstriction (EIB) in patients 6 years of age and older ( 1.2 ). • Relief of symptoms of allergic rhinitis (AR): seasonal allergic rhinitis (SAR) in patients 2 years of age and older, and perennial allergic rhinitis (PAR) in patients 2 years of age and older. Reserve use for patients who have an inadequate response or intolerance to alternative therapies ( 1.3 ). 1.1 Asthma Montelukast sodium chewable tablets are indicated for the prophylaxis and chronic treatment of a…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 204093

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

FDA NDC Directory listings under ANDA 204093
ProductStrengthForm · routeLabelerProduct NDC
montelukast sodiumMontelukast 4 mg/1Tablet, ChewableOralCamber Pharmaceuticals, Inc.31722-727
montelukast sodiumMontelukast 4 mg/1Tablet, ChewableOralA-S Medication Solutions50090-2921
montelukast sodiumMontelukast 4 mg/1Tablet, ChewableOralA-S Medication Solutions50090-7920
montelukast sodiumMontelukast 5 mg/1Tablet, ChewableOralA-S Medication Solutions50090-7925
montelukast sodiumMontelukast 5 mg/1Tablet, ChewableOralA-S Medication Solutions50090-4705
Montelukast SodiumMontelukast 5 mg/1Tablet, ChewableOralDIRECT RX72189-223
montelukast sodiumMontelukast 5 mg/1Tablet, ChewableOralPreferred Pharmaceuticals, Inc.68788-7669
montelukast sodiumMontelukast sodium 4 mg/1Tablet, ChewableOralBryant Ranch Prepack71335-1602

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