NDC codes

FDA NDC Directory
Product NDC (as listed)50090-5457Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-5457Add 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
50090-5457-9500905457095009054570936 TABLET in 1 BOTTLE (50090-5457-9)Marketed from Jan 29, 2021

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)
Methotrexate
Generic name (nonproprietary)
methotrexate
Active ingredients
Methotrexate sodium — 2.5 mg/1
Dosage form
Tablet
Route
Oral
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 081099
Marketing start
Listing expires
Other FDA classes
Folic Acid Metabolism Inhibitors (Mechanism)
Identifiers
Product ID 50090-5457_8f22cd3c-c742-4c25-aa28-127566b1c2d7SPL ID 8f22cd3c-c742-4c25-aa28-127566b1c2d7SPL set ID 22e10810-16fb-4c84-bccf-972405b77ef8RxCUI 105585UNII 3IG1E710ZN
Pharmacologic class
Folate Analog Metabolic 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

N450090545709 followed by a unit qualifier and the quantity

Package 50090-5457-09. 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)

Methotrexate tablets are a dihydrofolate reductase inhibitor indicated for the: Treatment of adults and pediatric patients with acute lymphoblastic leukemia (ALL) as part of a combination chemotherapy maintenance regimen ( 1.1 ) Treatment of adults with mycosis fungoides ( 1.1 ) Treatment of adults with relapsed or refractory non-Hodgkin lymphoma as part of a metronomic combination regimen ( 1.1 ) Treatment of adults with rheumatoid arthritis ( 1.2 ) Treatment of pediatric patients with polyarticular juvenile idiopathic arthritis (pJIA) ( 1.3 ) Treatment of adults with severe psoriasis ( 1.4 ) 1.1 Neoplastic Diseases Methotrexate tablets are indicated for the: treatment of adults and pediatr…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-5457

What is NDC 50090-5457?
50090-5457 is the product NDC for Methotrexate, Methotrexate sodium 2.5 mg/1 tablet, 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?
Methotrexate.
What is the active ingredient?
Methotrexate sodium.
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 Methotrexate?
51 other product NDCs are listed under this name. See all Methotrexate 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 Methotrexate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
MethotrexateMethotrexate 2.5 mg/1TabletOralAmerican Health Packaging60687-97560687-0975-94
MethotrexateMethotrexate sodium 25 mg/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousAlembic Pharmaceuticals Limited46708-71146708-0711-05
MethotrexateMethotrexate sodium 25 mg/mLInjection, SolutionIntramuscular, Intrathecal, Intravenous, SubcutaneousAlembic Pharmaceuticals Limited46708-71246708-0712-01
MethotrexateMethotrexate sodium 25 mg/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousAlembic Pharmaceuticals Inc.62332-71162332-0711-05
MethotrexateMethotrexate sodium 25 mg/mLInjection, SolutionIntramuscular, Intrathecal, Intravenous, SubcutaneousAlembic Pharmaceuticals Inc.62332-71262332-0712-01
MethotrexateMethotrexate 2.5 mg/1TabletOralAvPAK50268-55450268-0554-15
MethotrexateMethotrexate sodium 2.5 mg/1TabletOralSafecor Health LLC48433-06548433-0065-05
MethotrexateMethotrexate sodium 2.5 mg/1TabletOralCoupler LLC67046-152467046-1524-03
MethotrexateMethotrexate sodium 25 mg/mLInjection, SolutionIntramuscular, Intrathecal, Intravenous, SubcutaneousHospira, Inc.61703-16161703-0161-05
MethotrexateMethotrexate sodium 50 mg/2mLInjection, SolutionIntramuscular, Intrathecal, Intravenous, SubcutaneousEugia US LLC55150-51055150-0510-0155150-0510-05

All 52 Methotrexate NDCs

Other NDCs under ANDA 081099

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

FDA NDC Directory listings under ANDA 081099
ProductStrengthForm · routeLabelerProduct NDC
MethotrexateMethotrexate sodium 2.5 mg/1TabletOralTeva Pharmaceuticals USA, Inc.0555-0572
MethotrexateMethotrexate sodium 2.5 mg/1TabletOralAvKARE42291-594
MethotrexateMethotrexate sodium 2.5 mg/1TabletOralBryant Ranch Prepack71335-0782

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