NDC codes

FDA NDC Directory
Product NDC (as listed)50268-557Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50268-0557Add 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
50268-557-155026805571550 BLISTER PACK in 1 BOX (50268-557-15) / 1 CAPSULE in 1 BLISTER PACK (50268-557-11)Marketed from May 15, 2023

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
mycophenolate mofetil
Generic name (nonproprietary)
mycophenolate mofetil
Active ingredients
Mycophenolate mofetil — 250 mg/1
Dosage form
Capsule
Route
Oral
Labeler
AvPAK
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 200197
Marketing start
Listing expires
Identifiers
Product ID 50268-557_59e3c938-86a9-3d53-e063-6394a90a72d3SPL ID 59e3c938-86a9-3d53-e063-6394a90a72d3SPL set ID fbbe6521-0e21-5372-e053-6394a90ae5e4RxCUI 199058, 200060UNII 9242ECW6R0
Pharmacologic class
Antimetabolite Immunosuppressant

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

N450268055715 followed by a unit qualifier and the quantity

Package 50268-0557-15. 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)

Mycophenolate mofetil (MMF) is indicated for the prophylaxis of organ rejection, in adult and pediatric recipients 3 months of age and older of allogeneic kidney [see Clinical Studies ( 14.1 )], heart [see Clinical Studies ( 14.2 )] or liver transplants [see Clinical Studies ( 14.3 )] , in combination with other immunosuppressants. Mycophenolate mofetil is an antimetabolite immunosuppressant indicated for the prophylaxis of organ rejection in adult and pediatric recipients 3 months of age and older of allogeneic kidney, heart or liver transplants, in combination with other immunosuppressants. (1)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 200197

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

FDA NDC Directory listings under ANDA 200197
ProductStrengthForm · routeLabelerProduct NDC
mycophenolate mofetilMycophenolate mofetil 250 mg/1CapsuleOralAscend Laboratories, LLC67877-266
mycophenolate mofetilMycophenolate mofetil 250 mg/1CapsuleOralAmerican Health Packaging60687-885
mycophenolate mofetilMycophenolate mofetil 250 mg/1CapsuleOralCardinal Health 107, LLC55154-0161
mycophenolate mofetilMycophenolate mofetil 250 mg/1CapsuleOralMajor Pharmaceuticals0904-7466

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