NDC codes

FDA NDC Directory
Product NDC (as listed)50090-4492Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-4492Add 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
50090-4492-05009044920090 TABLET, FILM COATED in 1 BOTTLE (50090-4492-0)Marketed from Aug 29, 2019
50090-4492-15009044920130 TABLET, FILM COATED in 1 BOTTLE (50090-4492-1)Marketed from Jul 18, 2023

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)
Jardiance
Generic name (nonproprietary)
empagliflozin
Active ingredients
Empagliflozin10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 204629
Marketing start
Listing expires
Other FDA classes
Sodium-Glucose Transporter 2 Inhibitors (Mechanism)
Identifiers
Product ID 50090-4492_1415572d-8ed7-4dc7-9506-764952ce7438SPL ID 1415572d-8ed7-4dc7-9506-764952ce7438SPL set ID 942a82a4-cbbd-4e44-9965-8d03f767912bRxCUI 1545658, 1545664UNII HDC1R2M35U

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

N450090449200 followed by a unit qualifier and the quantity

Package 50090-4492-00. 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 .

Indications (excerpt from the label)

JARDIANCE is indicated: to reduce the risk of cardiovascular death and hospitalization for heart failure in adults with heart failure. to reduce the risk of cardiovascular death in adults with type 2 diabetes mellitus and established cardiovascular disease. as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients aged 10 years and older with type 2 diabetes mellitus. JARDIANCE is a sodium-glucose co-transporter 2 (SGLT2) inhibitor indicated: To reduce the risk of cardiovascular death and hospitalization for heart failure in adults with heart failure. ( 1 ) To reduce the risk of cardiovascular death in adults with type 2 diabetes mellitus and established

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 204629

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

FDA NDC Directory listings under NDA 204629
ProductStrengthForm · routeLabelerProduct NDC
JardianceempagliflozinEmpagliflozin 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6452
JardianceempagliflozinEmpagliflozin 25 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6457
JardianceempagliflozinEmpagliflozin 25 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-177
JardianceempagliflozinEmpagliflozin 10 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-0411
JardianceempagliflozinEmpagliflozin 25 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-0412
JardianceempagliflozinEmpagliflozin 10 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-900
JardianceempagliflozinEmpagliflozin 25 mg/1Tablet, Film coatedOralRedpharm Drug67296-2324
JardianceempagliflozinEmpagliflozin 10 mg/1Tablet, Film coatedOralBoehringer Ingelheim Pharmaceuticals, Inc.0597-0152
JardianceempagliflozinEmpagliflozin 25 mg/1Tablet, Film coatedOralBoehringer Ingelheim Pharmaceuticals, Inc.0597-0153
JardianceempagliflozinEmpagliflozin 25 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-4384

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