NDC codes

FDA NDC Directory
Product NDC (as listed)42806-552Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42806-0552Add 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
42806-552-1242806055212120 CAPSULE, LIQUID FILLED in 1 BOTTLE (42806-552-12)Marketed from Jul 2, 2020

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)
Omega-3-Acid Ethyl Esters
Generic name (nonproprietary)
omega-3-acid ethyl esters
Active ingredients
Omega-3-acid ethyl esters1 g/1
Dosage form
Capsule, Liquid filled
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210093
Marketing start
Listing expires
Other FDA classes
Omega-3 (Chemical structure)
Identifiers
Product ID 42806-552_2b206d7a-b677-757e-e063-6294a90a9c0dSPL ID 2b206d7a-b677-757e-e063-6294a90a9c0dSPL set ID 787f9929-ef31-42a7-a305-8ba343e39672RxCUI 577208UNII D87YGH4Z0Q
Pharmacologic class
Omega-3 Fatty Acid

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

N442806055212 followed by a unit qualifier and the quantity

Package 42806-0552-12. 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)

Omega-3-acid ethyl esters capsules are indicated as an adjunct to diet to reduce triglyceride (TG) levels in adult patients with severe (greater than or equal to 500 mg/dL) hypertriglyceridemia. Usage Considerations: Patients should be placed on an appropriate lipid-lowering diet before receiving omega-3-acid ethyl esters capsules and should continue this diet during treatment with omega-3-acid ethyl esters capsules. Laboratory studies should be done to ascertain that the lipid levels are consistently abnormal before instituting therapy with omega-3-acid ethyl esters capsules. Every attempt should be made to control serum lipids with appropriate diet, exercise, weight loss in obese patients,

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 210093

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

FDA NDC Directory listings under ANDA 210093
ProductStrengthForm · routeLabelerProduct NDC
Omega-3-Acid Ethyl EstersOmega-3-acid ethyl esters 1 g/1Capsule, Liquid filledOralREMEDYREPACK INC.70518-3040
Omega-3-Acid Ethyl EstersOmega-3-acid ethyl esters 1 g/1Capsule, Liquid filledOralPURACAP LABORATORIES LLC DBA BLU PHARMACEUTICALS24658-350
Omega-3-Acid Ethyl EstersOmega-3-acid ethyl esters 1 g/1Capsule, Liquid filledOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8550
Omega-3-Acid Ethyl EstersOmega-3-acid ethyl esters 1 g/1Capsule, Liquid filledOralBryant Ranch Prepack71335-2024
Omega-3-Acid Ethyl EstersOmega-3-acid ethyl esters 1 g/1Capsule, Liquid filledOralA-S Medication Solutions50090-6692
Omega-3-Acid Ethyl EstersOmega-3-acid ethyl esters 1 g/1Capsule, Liquid filledOralA-S Medication Solutions50090-6691

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