NDC codes

FDA NDC Directory
Product NDC (as listed)50090-4469Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-4469Add 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
50090-4469-0500904469005009044690090 TABLET, FILM COATED in 1 BOTTLE (50090-4469-0)Marketed from Aug 16, 2019

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)
Xarelto
Generic name (nonproprietary)
rivaroxaban
Active ingredients
Rivaroxaban — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022406
Marketing start
Listing expires
Other FDA classes
Factor Xa Inhibitors (Mechanism)
Identifiers
Product ID 50090-4469_4d42fd56-57bd-43a6-93c9-6454028dfef4SPL ID 4d42fd56-57bd-43a6-93c9-6454028dfef4SPL set ID 65727928-9421-4df8-bff2-f72a9cc78069RxCUI 1114198, 1114202UNII 9NDF7JZ4M3
Pharmacologic class
Factor Xa Inhibitor

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

N450090446900 followed by a unit qualifier and the quantity

Package 50090-4469-00. 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)

XARELTO is a factor Xa inhibitor indicated: to reduce risk of stroke and systemic embolism in nonvalvular atrial fibrillation ( 1.1 ) for treatment of deep vein thrombosis (DVT) ( 1.2 ) for treatment of pulmonary embolism (PE) ( 1.3 ) for reduction in the risk of recurrence of DVT or PE ( 1.4 ) for the prophylaxis of DVT, which may lead to PE in patients undergoing knee or hip replacement surgery ( 1.5 ) for prophylaxis of venous thromboembolism (VTE) in acutely ill medical patients ( 1.6 ) to reduce the risk of major cardiovascular events in patients with coronary artery disease (CAD) ( 1.7 ) to reduce the risk of major thrombotic vascular events in patients with peripheral artery disease (…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-4469

What is NDC 50090-4469?
50090-4469 is the product NDC for Xarelto (rivaroxaban), Rivaroxaban 10 mg/1 tablet, film coated, 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?
Xarelto (Rivaroxaban).
What is the active ingredient?
Rivaroxaban.
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 Xarelto?
12 other product NDCs are listed under this name. See all Xarelto 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 Xarelto NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
XareltorivaroxabanRivaroxaban 155 mg/1Granule, For suspensionOralJanssen Pharmaceuticals, Inc.50458-57550458-0575-01
XareltorivaroxabanRivaroxaban 2.5 mg/1Tablet, Film coatedOralJanssen Pharmaceuticals, Inc.50458-57750458-0577-1050458-0577-1450458-0577-18+1 more
Xareltorivaroxaban—KitJanssen Pharmaceuticals, Inc.50458-58450458-0584-5150458-0584-52
XareltorivaroxabanRivaroxaban 20 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-363950090-3639-00
XareltorivaroxabanRivaroxaban 20 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-446850090-4468-00
XareltorivaroxabanRivaroxaban 20 mg/1Tablet, Film coatedOralJanssen Pharmaceuticals, Inc.50458-57950458-0579-0750458-0579-1050458-0579-30+2 more
XareltorivaroxabanRivaroxaban 20 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-142355154-1423-08
XareltorivaroxabanRivaroxaban 15 mg/1Tablet, Film coatedOralJanssen Pharmaceuticals, Inc.50458-57850458-0578-0750458-0578-1050458-0578-30+1 more
XareltorivaroxabanRivaroxaban 15 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-142455154-1424-08
XareltorivaroxabanRivaroxaban 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-362550090-3625-0050090-3625-01

All 13 Xarelto NDCs

Other NDCs under NDA 022406

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

FDA NDC Directory listings under NDA 022406
ProductStrengthForm · routeLabelerProduct NDC
XareltorivaroxabanRivaroxaban 15 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-1424
XareltorivaroxabanRivaroxaban 20 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-1423
XareltorivaroxabanRivaroxaban 10 mg/1Tablet, Film coatedOralJanssen Pharmaceuticals, Inc.50458-580
XareltorivaroxabanRivaroxaban 2.5 mg/1Tablet, Film coatedOralJanssen Pharmaceuticals, Inc.50458-577
XareltorivaroxabanRivaroxaban 15 mg/1Tablet, Film coatedOralJanssen Pharmaceuticals, Inc.50458-578
XareltorivaroxabanRivaroxaban 20 mg/1Tablet, Film coatedOralJanssen Pharmaceuticals, Inc.50458-579
Xareltorivaroxaban—KitJanssen Pharmaceuticals, Inc.50458-584
XareltorivaroxabanRivaroxaban 20 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-4468
XareltorivaroxabanRivaroxaban 10 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-690
XareltorivaroxabanRivaroxaban 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-3625
XareltorivaroxabanRivaroxaban 20 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-3639

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