NDC codes

FDA NDC Directory
Product NDC (as listed)31722-878Labeler and product segments. Claims need a package NDC.
Product NDC at billing width31722-0878Add 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
31722-878-01317220878011 BOTTLE in 1 CARTON (31722-878-01) / 100 CAPSULE in 1 BOTTLEMarketed from Oct 22, 2024
31722-878-0531722087805500 CAPSULE in 1 BOTTLE (31722-878-05)Marketed from Dec 12, 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)
Mycophenolate Mofetil
Generic name (nonproprietary)
mycophenolate mofetil
Active ingredients
Mycophenolate mofetil — 250 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207022
Marketing start
Listing expires
Identifiers
Product ID 31722-878_3b604c8c-672d-7b1e-e063-6394a90a255fSPL ID 3b604c8c-672d-7b1e-e063-6394a90a255fSPL set ID 118e9bc8-c1a9-41d0-89e6-251f3be0b99cRxCUI 199058UNII 9242ECW6R0UPC 0331722878012
Pharmacologic class
Antimetabolite Immunosuppressant

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

N431722087801 followed by a unit qualifier and the quantity

Package 31722-0878-01. 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)

Mycophenolate mofetil capsules are indicated for the prophylaxis of organ rejection, in adult and pediatric recipients 3 months of age and older of allogeneic kidney [see Clinical Studies (14.1) ], heart [see Clinical Studies (14.2) ] or liver transplants [see Clinical Studies (14.3) ], in combination with other immunosuppressants. Mycophenolate Mofetil capsules are an antimetabolite immunosuppressant indicated for the prophylaxis of organ rejection in adult and pediatric recipients 3 months of age and older of allogeneic kidney, heart or liver transplants, in combination with other immunosuppressants. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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