NDC codes

FDA NDC Directory
Product NDC (as listed)50090-5504Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-5504Add 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
50090-5504-05009055040060 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50090-5504-0)Marketed from Mar 31, 2021
50090-5504-150090550401180 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (50090-5504-1)Marketed from Sep 1, 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)
Janumet XRSuffix: XR
Generic name (nonproprietary)
sitagliptin and metformin hydrochloride
Active ingredients
Sitagliptin phosphate50 mg/1Metformin hydrochloride1000 mg/1
Dosage form
Tablet, Film coated, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 202270
Marketing start
Listing expires
Other FDA classes
Biguanides (Chemical structure)Dipeptidyl Peptidase 4 Inhibitors (Mechanism)
Identifiers
Product ID 50090-5504_daeedefc-b17c-4c81-8677-dc75b1eb8af2SPL ID daeedefc-b17c-4c81-8677-dc75b1eb8af2SPL set ID 90c0244b-afb3-4e69-b79f-486d002ca432RxCUI 1243843, 2709477UNII TS63EW8X6F, 786Z46389E

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

N450090550400 followed by a unit qualifier and the quantity

Package 50090-5504-00. 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)

JANUMET ® XR is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. JANUMET XR is a combination of sitagliptin, a dipeptidyl peptidase-4 (DPP-4) inhibitor, and metformin hydrochloride (HCl), a biguanide indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. ( 1 ) Limitations of Use: Not for the treatment of type 1 diabetes. ( 1 ) Has not been studied in patients with a history of pancreatitis. ( 1 , 5.2 ) Limitations of Use JANUMET XR should not be used in patients with type 1 diabetes mellitus. JANUMET XR has not been studied in patients with a history of pancreatitis. It

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 202270

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

FDA NDC Directory listings under NDA 202270
ProductStrengthForm · routeLabelerProduct NDC
Janumet XRsitagliptin and metformin hydrochlorideSitagliptin phosphate 100 mg/1; Metformin hydrochloride 1000 mg/1Tablet, Film coated, Extended releaseOralMerck Sharp & Dohme LLC0006-0081
Janumet XRsitagliptin and metformin hydrochlorideSitagliptin phosphate 50 mg/1; Metformin hydrochloride 500 mg/1Tablet, Film coated, Extended releaseOralMerck Sharp & Dohme LLC0006-0078
Janumet XRsitagliptin and metformin hydrochlorideSitagliptin phosphate 50 mg/1; Metformin hydrochloride 1000 mg/1Tablet, Film coated, Extended releaseOralMerck Sharp & Dohme LLC0006-0080

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