NDC codes

FDA NDC Directory
Product NDC (as listed)51167-400Labeler and product segments. Claims need a package NDC.
Product NDC at billing width51167-0400Add 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
51167-400-015116704000156 GRANULE in 1 CARTON (51167-400-01)Marketed from Mar 23, 2015

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)
Kalydeco
Generic name (nonproprietary)
ivacaftor
Active ingredients
Ivacaftor75 mg/1
Dosage form
Granule
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 207925
Marketing start
Listing expires
Other FDA classes
Chloride Channel Activation Potentiators (Mechanism)Cytochrome P450 2C9 Inhibitors (Mechanism)Cytochrome P450 3A Inhibitors (Mechanism)P-Glycoprotein Inhibitors (Mechanism)
Identifiers
Product ID 51167-400_13eb3fc2-0dac-4ada-96a8-a2e0cea711b7SPL ID 13eb3fc2-0dac-4ada-96a8-a2e0cea711b7SPL set ID 0ab0c9f8-3eee-4e0f-9f3f-c1e16aaffe25RxCUI 1243046, 1243052, 1606862, 1606866, 1606868, 1606870, 2166399, 2166401, 2636787, 2636789, 2636791, 2636793UNII 1Y740ILL1Z
Pharmacologic class
Cystic Fibrosis Transmembrane Conductance Regulator Potentiator

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

N451167040001 followed by a unit qualifier and the quantity

Package 51167-0400-01. 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)

KALYDECO is indicated for the treatment of cystic fibrosis (CF) in patients aged 1 month and older who have at least one mutation in the CFTR gene that is responsive to ivacaftor potentiation based on clinical and/or in vitro assay data [see Clinical Pharmacology (12.1) and Clinical Studies (14) ] . If the patient's genotype is unknown, an FDA-cleared CF mutation test should be used to detect the presence of a CFTR mutation followed by verification with bi-directional sequencing when recommended by the mutation test instructions for use. KALYDECO is a cystic fibrosis transmembrane conductance regulator (CFTR) potentiator indicated for the treatment of cystic fibrosis (CF) in patients aged 1

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 207925

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

FDA NDC Directory listings under NDA 207925
ProductStrengthForm · routeLabelerProduct NDC
KalydecoivacaftorIvacaftor 50 mg/1GranuleOralVertex Pharmaceuticals Incorporated51167-300
KalydecoivacaftorIvacaftor 25 mg/1GranuleOralVertex Pharmaceuticals Incorporated51167-600
KalydecoivacaftorIvacaftor 5.8 mg/1GranuleOralVertex Pharmaceuticals Incorporated51167-785
KalydecoivacaftorIvacaftor 13.4 mg/1GranuleOralVertex Pharmaceuticals Incorporated51167-770

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