NDC codes

FDA NDC Directory
Product NDC (as listed)42571-130Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42571-0130Add 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
42571-130-21425710130215 BOTTLE in 1 CARTON (42571-130-21) / 5 mL in 1 BOTTLEMarketed from Apr 15, 2021
42571-130-27425710130272.5 BOTTLE in 1 CARTON (42571-130-27) / 2.5 mL in 1 BOTTLEMarketed from Apr 15, 2021

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)
Travoprost Ophthalmic
Generic name (nonproprietary)
travoprost ophthalmic solution
Active ingredients
Travoprost.04 mg/mL
Dosage form
Solution
Route
Ophthalmic
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203767
Marketing start
Listing expires
Other FDA classes
Prostaglandins (Chemical structure)
Identifiers
Product ID 42571-130_41439a5a-db1a-ffe4-e063-6294a90a9247SPL ID 41439a5a-db1a-ffe4-e063-6294a90a9247SPL set ID 39c8f172-9dc6-4adf-8e7f-4d1cb6940926RxCUI 284008UNII WJ68R08KX9UPC 0342571130275
Pharmacologic class
Prostaglandin Analog

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. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N442571013021 followed by a unit qualifier and the quantity

Package 42571-0130-21. 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)

Travoprost ophthalmic solution 0.004% (ionic buffered solution) is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Travoprost ophthalmic solution 0.004% (ionic buffered solution) is a prostaglandin analog indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 203767

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

FDA NDC Directory listings under ANDA 203767
ProductStrengthForm · routeLabelerProduct NDC
Travoprost Ophthalmictravoprost ophthalmic solutionTravoprost .04 mg/mLSolutionOphthalmicBryant Ranch Prepack71335-2888
Travoprost Ophthalmictravoprost ophthalmic solutionTravoprost .04 mg/mLSolutionOphthalmicBryant Ranch Prepack71335-2738
Travoprost Ophthalmictravoprost ophthalmic solutionTravoprost .04 mg/mLSolutionOphthalmicBryant Ranch Prepack72162-2432

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in