NDC codes

FDA NDC Directory
Product NDC (as listed)42571-133Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42571-0133Add 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
42571-133-29425710133294257101332960 BLISTER PACK in 1 CARTON (42571-133-29) / 10 TABLET in 1 BLISTER PACKMarketed from Sep 1, 2021
42571-133-30425710133304257101333030 TABLET in 1 BOTTLE (42571-133-30)Marketed from Sep 1, 2021
42571-133-60425710133604257101336060 TABLET in 1 BOTTLE (42571-133-60)Marketed from Sep 1, 2021
42571-133-90425710133904257101339090 TABLET in 1 BOTTLE (42571-133-90)Marketed from Sep 1, 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)
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOLSuffix: DICLOFENAC-SODIUM-MISOPROSTOL
Generic name (nonproprietary)
diclofenac sodium/misoprostol
Active ingredients
Diclofenac sodium — 50 mg/1Misoprostol — 200 ug/1
Dosage form
Tablet
Route
Oral
Labeler
Micro Labs LimitedNDC labeler code 42571
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204355
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Decreased Prostaglandin Production (Physiologic effect)Synthetic (Chemical structure)
Identifiers
Product ID 42571-133_3afc5367-562f-b4a0-e063-6294a90a2560SPL ID 3afc5367-562f-b4a0-e063-6294a90a2560SPL set ID c61df58d-d6bb-4d3e-9ef8-60caa7d4e762RxCUI 857706, 1359105UNII QTG126297Q, 0E43V0BB57UPC 0342571133603, 0342571134600
Pharmacologic class
Nonsteroidal Anti-inflammatory Drug; Prostaglandin E1 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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N442571013329 followed by a unit qualifier and the quantity

Package 42571-0133-29. 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)

Diclofenac sodium and misoprostol delayed-release tablets are indicated for treatment of the signs and symptoms of osteoarthritis or rheumatoid arthritis in adult patients at high risk of developing NSAID-induced gastric and duodenal ulcers and their complications. For a list of factors that may increase the risk of NSAID-induced gastric and duodenal ulcers and their complications [see Warnings and Precautions ( 5.3 )] . Diclofenac sodium and misoprostol delayed-release tablets are a combination of diclofenac sodium, a non-steroidal anti-inflammatory drug, and misoprostol, a prostaglandin-1 (PGE1) analog, indicated for the treatment of signs and symptoms of osteoarthritis or rheumatoid arthr…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 42571-133

What is NDC 42571-133?
42571-133 is the product NDC for Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOL, Diclofenac sodium 50 mg/1; Misoprostol 200 ug/1 tablet, listed with the FDA by Micro Labs Limited. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOL (Diclofenac Sodium/Misoprostol).
What is the active ingredient?
Diclofenac sodium, Misoprostol.
Who is the labeler?
Micro Labs Limited, NDC labeler code 42571. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOL?
3 other product NDCs are listed under this name. See all Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOL NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOL NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOLdiclofenac sodium/misoprostolDiclofenac sodium 75 mg/1; Misoprostol 200 ug/1TabletOralMicro Labs Limited42571-13442571-0134-2942571-0134-3042571-0134-60+1 more
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOLdiclofenac sodium/misoprostolDiclofenac sodium 75 mg/1; Misoprostol 200 ug/1TabletOralBryant Ranch Prepack71335-260371335-2603-0171335-2603-0271335-2603-03+2 more
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOLdiclofenac sodium/misoprostolDiclofenac sodium 75 mg/1; Misoprostol 200 ug/1TabletOralSportpharm LLC85766-19285766-0192-0785766-0192-1085766-0192-14+5 more

Other NDCs under ANDA 204355

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

FDA NDC Directory listings under ANDA 204355
ProductStrengthForm · routeLabelerProduct NDC
DICLOENAC SODIUM and MISOPROSTOL DRdicloenac sodium and misoprostolDiclofenac sodium 75 mg/1; Misoprostol 200 ug/1TabletOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0273
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOLdiclofenac sodium/misoprostolDiclofenac sodium 75 mg/1; Misoprostol 200 ug/1TabletOralMicro Labs Limited42571-134
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOLdiclofenac sodium/misoprostolDiclofenac sodium 75 mg/1; Misoprostol 200 ug/1TabletOralBryant Ranch Prepack71335-2603
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOLdiclofenac sodium/misoprostolDiclofenac sodium 75 mg/1; Misoprostol 200 ug/1TabletOralSportpharm LLC85766-192

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