NDC codes

FDA NDC Directory
Product NDC (as listed)42794-051Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42794-0051Add 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
42794-051-08427940051084279400510830 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (42794-051-08)Marketed from Apr 10, 2019
42794-051-22427940051224279400512210 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (42794-051-22)Marketed from Apr 10, 2019

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)
Ambrisentan
Generic name (nonproprietary)
ambrisentan
Active ingredients
Ambrisentan — 5 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Sigmapharm Laboratories, LLCNDC labeler code 42794
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 208354
Marketing start
Listing expires
Other FDA classes
Endothelin Receptor Antagonists (Mechanism)
Identifiers
Product ID 42794-051_f1f20771-a78f-74cf-e053-2995a90a6adfSPL ID f1f20771-a78f-74cf-e053-2995a90a6adfSPL set ID e20ab2fe-bc9f-48a3-b15a-e4bc9532c2acRxCUI 722116, 722122UNII HW6NV07QECUPC 0342794052088, 0342794051081
Pharmacologic class
Endothelin Receptor Antagonist

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

N442794005108 followed by a unit qualifier and the quantity

Package 42794-0051-08. 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)

Ambrisentan tablets are indicated for the treatment of pulmonary arterial hypertension (PAH) (WHO Group 1): To improve exercise ability and delay clinical worsening. In combination with tadalafil to reduce the risks of disease progression and hospitalization for worsening PAH, and to improve exercise ability [ see Clinical Studies (14.2) ]. Studies establishing effectiveness included predominantly patients with WHO Functional Class II-III symptoms and etiologies of idiopathic or heritable PAH (60%) or PAH associated with connective tissue diseases (34%). Ambrisentan is an endothelin receptor antagonist indicated for the treatment of pulmonary arterial hypertension (PAH) (WHO Group 1): To imp…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 42794-051

What is NDC 42794-051?
42794-051 is the product NDC for Ambrisentan, Ambrisentan 5 mg/1 tablet, film coated, listed with the FDA by Sigmapharm Laboratories, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Ambrisentan.
What is the active ingredient?
Ambrisentan.
Who is the labeler?
Sigmapharm Laboratories, LLC, NDC labeler code 42794. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Ambrisentan?
22 other product NDCs are listed under this name. See all Ambrisentan 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 Ambrisentan NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
AmbrisentanAmbrisentan 5 mg/1Tablet, Film coatedOralQuallent Pharmaceuticals Health LLC82009-14182009-0141-30
AmbrisentanAmbrisentan 10 mg/1Tablet, Film coatedOralQuallent Pharmaceuticals Health LLC82009-14282009-0142-30
AmbrisentanAmbrisentan 5 mg/1Tablet, Film coatedOralApotex Corp.60505-455260505-4552-03
AmbrisentanAmbrisentan 10 mg/1Tablet, Film coatedOralApotex Corp.60505-455360505-4553-03
ambrisentanAmbrisentan 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-767050090-7670-00
ambrisentanAmbrisentan 5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-767150090-7671-00
ambrisentanAmbrisentan 5 mg/1Tablet, Film coatedOralAurobindo Pharma Limited59651-49459651-0494-30
ambrisentanAmbrisentan 10 mg/1Tablet, Film coatedOralAurobindo Pharma Limited59651-49559651-0495-30
AmbrisentanAmbrisentan 5 mg/1Tablet, Film coatedOralGolden State Medical Supply, Inc.51407-59451407-0594-30
AmbrisentanAmbrisentan 10 mg/1Tablet, Film coatedOralGolden State Medical Supply, Inc.51407-59551407-0595-30

All 23 Ambrisentan NDCs

Other NDCs under ANDA 208354

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

FDA NDC Directory listings under ANDA 208354
ProductStrengthForm · routeLabelerProduct NDC
AmbrisentanAmbrisentan 10 mg/1Tablet, Film coatedOralSigmapharm Laboratories, LLC42794-052

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