NDC codes

FDA NDC Directory
Product NDC (as listed)42023-111Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42023-0111Add 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
42023-111-01420230111015 mL in 1 VIAL, MULTI-DOSE (42023-111-01)Marketed from Nov 1, 2007

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)
Delestrogen
Generic name (nonproprietary)
estradiol valerate
Active ingredients
Estradiol valerate — 20 mg/mL
Dosage form
Injection
Route
Intramuscular
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 009402
Marketing start
Listing expires
Other FDA classes
Estradiol Congeners (Chemical structure)Estrogen Receptor Agonists (Mechanism)
Identifiers
Product ID 42023-111_58569bae-90e9-492c-a026-9a7b8797b3b4SPL ID 58569bae-90e9-492c-a026-9a7b8797b3b4SPL set ID e8f94df9-0692-4462-a7f0-fe019a0a3f07RxCUI 206620, 206715, 310189, 310190UNII OKG364O896
Pharmacologic class
Estrogen

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.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N442023011101 followed by a unit qualifier and the quantity

Package 42023-0111-01. 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)

INDICATIONS AND USAGE DELESTROGEN (estradiol valerate injection, USP) is indicated in the: 1. Treatment of moderate to severe vasomotor symptoms associated with the menopause. 2. Treatment of moderate to severe symptoms of vulvar and vaginal atrophy associated with the menopause. When prescribing solely for the treatment of symptoms of vulvar and vaginal atrophy, topical vaginal products should be considered. 3. Treatment of hypoestrogenism due to hypogonadism, castration or primary ovarian failure. 4. Treatment of advanced androgen-dependent carcinoma of the prostate (for palliation only).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 009402

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

FDA NDC Directory listings under NDA 009402
ProductStrengthForm · routeLabelerProduct NDC
Delestrogenestradiol valerateEstradiol valerate 10 mg/mLInjectionIntramuscularPar Health USA, LLC42023-110

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