NDC codes

FDA NDC Directory
Product NDC (as listed)50090-6109Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-6109Add 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
50090-6109-0500906109005009061090090 TABLET, FILM COATED in 1 BOTTLE (50090-6109-0)Marketed from Sep 28, 2022

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)
Montelukast
Generic name (nonproprietary)
montelukast sodium
Active ingredients
Montelukast sodium — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202843
Marketing start
Listing expires
Other FDA classes
Leukotriene Receptor Antagonists (Mechanism)
Identifiers
Product ID 50090-6109_e413cca6-71fd-40ba-8327-4898851b26a9SPL ID e413cca6-71fd-40ba-8327-4898851b26a9SPL set ID da9821f1-536a-416b-9594-210bde0cefafRxCUI 200224UNII U1O3J18SFL
Pharmacologic class
Leukotriene Receptor Antagonist

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

N450090610900 followed by a unit qualifier and the quantity

Package 50090-6109-00. 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)

Montelukast sodium tablets are a leukotriene receptor antagonist indicated for: • Prophylaxis and chronic treatment of asthma in patients 15 years of age and older (1.1). • Acute prevention of exercise-induced bronchoconstriction (EIB) in patients 15 years of age and older (1.2). • Relief of symptoms of allergic rhinitis (AR): seasonal allergic rhinitis (SAR) in patients 15 years of age and older, and perennial allergic rhinitis (PAR) in patients 15 years of age and older. Reserve use for patients who have an inadequate response or intolerance to alternative therapies (1.3). Limitations of Use: • Not indicated to treat an acute asthma attack ( 5.2 ). 1.1 Asthma Montelukast sodium tablets are…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-6109

What is NDC 50090-6109?
50090-6109 is the product NDC for Montelukast (montelukast sodium), Montelukast sodium 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?
Montelukast (Montelukast sodium).
What is the active ingredient?
Montelukast 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 Montelukast?
15 other product NDCs are listed under this name. See all Montelukast 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 Montelukast NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
MontelukastMontelukast sodium 10 mg/1TabletOralCoupler LLC67046-206067046-2060-03
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralQuallent Pharmaceuticals Health LLC82009-00982009-0009-10
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralAvPAK50268-55650268-0556-15
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralPreferred Pharmaceuticals, Inc.68788-809968788-8099-0368788-8099-0668788-8099-09
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-313370518-3133-0070518-3133-0170518-3133-02
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-56371610-0563-30
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralXLCare Pharmaceuticals Inc.72865-17572865-0175-1072865-0175-3072865-0175-90
MontelukastMontelukast sodium 10 mg/1TabletOralBluePoint Laboratories68001-36168001-0361-0368001-0361-0468001-0361-05
MontelukastMontelukast sodium 5 mg/1Tablet, ChewableOralProficient Rx LP63187-62663187-0626-3063187-0626-6063187-0626-90
MontelukastMontelukast sodium 10 mg/1TabletOralMacleods Pharmaceuticals Limited33342-10233342-0102-0733342-0102-1033342-0102-12+2 more

All 16 Montelukast NDCs

Other NDCs under ANDA 202843

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

FDA NDC Directory listings under ANDA 202843
ProductStrengthForm · routeLabelerProduct NDC
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-1979
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralQuallent Pharmaceuticals Health LLC82009-009
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralXLCare Pharmaceuticals Inc.72865-175
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralPreferred Pharmaceuticals, Inc.68788-8099
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-8075
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-3133
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralAvPAK50268-556
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6108
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralDirect_Rx72189-418
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralCamber Pharmaceuticals, Inc.31722-726
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-563
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-6808

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