Mycophenolate Mofetil NDC 42023-172

NDC codes

FDA NDC Directory

Product NDC (as listed)42023-172Labeler and product segments. Claims need a package NDC.

Product NDC at billing width42023-0172Add 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 NDC	11-digit (billing)	Package	Copy
42023-172-04	42023017204	4 VIAL in 1 CARTON (42023-172-04) / 20 mL in 1 VIALMarketed from Oct 28, 2016

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 — 500 mg/20mL
Dosage form: Injection, Powder, Lyophilized, For solution
Route: Intravenous
Labeler: Par Health USA, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 203575
Marketing start: Oct 28, 2016
Listing expires: Dec 31, 2027
Identifiers: Product ID 42023-172_1df5a45a-835a-454f-b9b1-5265b801cdcaSPL ID 1df5a45a-835a-454f-b9b1-5265b801cdcaSPL set ID 35ba0428-e267-49a5-99a9-c58853f7989dRxCUI 311881UNII 9242ECW6R0
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 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

N442023017204 followed by a unit qualifier and the quantity

Package 42023-0172-04. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.