NDC codes

FDA NDC Directory
Product NDC (as listed)50090-1683Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-1683Add 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
50090-1683-050090168300500901683003 POUCH in 1 CARTON (50090-1683-0) / 1 d in 1 POUCHMarketed from Feb 6, 2015

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Xulane
Generic name (nonproprietary)
norelgestromin and ethinyl estradiol
Active ingredients
Norelgestromin — 150 ug/dEthinyl estradiol — 35 ug/d
Dosage form
Patch
Route
Transdermal
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 200910
Marketing start
Listing expires
Other FDA classes
Estrogen Receptor Agonists (Mechanism)Progesterone Congeners (Chemical structure)
Identifiers
Product ID 50090-1683_ebc72113-be27-4819-9f7d-3ba574452d8eSPL ID ebc72113-be27-4819-9f7d-3ba574452d8eSPL set ID adcf17ef-e60b-48a4-9478-3998dab2bbbdRxCUI 1534809, 1536586UNII R0TAY3X631, 423D2T571U
Pharmacologic class
Estrogen; Progestin

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

NDC on a medical claim

N450090168300 followed by a unit qualifier and the quantity

Package 50090-1683-00. 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)

Xulane is indicated for the prevention of pregnancy in women with a body mass index (BMI) < 30 kg/m 2 for whom a combined hormonal contraceptive is appropriate. Limitations of Use: Xulane may be less effective in preventing pregnancy in women who weigh 198 lbs. (90 kg) or more. Xulane is contraindicated for use in women with BMI ≥ 30 kg/m 2 [see Contraindications (4) , Warnings and Precautions (5.1) and Clinical Studies (14) ] . Xulane is an estrogen/progestin combination hormonal contraceptive (CHC), indicated for the prevention of pregnancy in women with a BMI < 30 kg/m 2 for whom a combined hormonal contraceptive is appropriate. ( 1 ) Limitations of Use: Xulane may be less effective in pr…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-1683

What is NDC 50090-1683?
50090-1683 is the product NDC for Xulane, Norelgestromin 150 ug/d; Ethinyl estradiol 35 ug/d patch, listed with the FDA by A-S Medication Solutions. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Xulane (Norelgestromin and ethinyl estradiol).
What is the active ingredient?
Norelgestromin, Ethinyl estradiol.
Who is the labeler?
A-S Medication Solutions, NDC labeler code 50090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Xulane?
1 other product NDC are listed under this name. See all Xulane 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 Xulane NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Xulanenorelgestromin and ethinyl estradiolNorelgestromin 150 ug/d; Ethinyl estradiol 35 ug/dPatchTransdermalMylan Pharmaceuticals Inc.0378-334000378-3340-53

Other NDCs under ANDA 200910

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

FDA NDC Directory listings under ANDA 200910
ProductStrengthForm · routeLabelerProduct NDC
Xulanenorelgestromin and ethinyl estradiolNorelgestromin 150 ug/d; Ethinyl estradiol 35 ug/dPatchTransdermalMylan Pharmaceuticals Inc.0378-3340

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