NDC codes

FDA NDC Directory
Product NDC (as listed)51991-474Labeler and product segments. Claims need a package NDC.
Product NDC at billing width51991-0474Add 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
51991-474-2851991047428519910474281 BLISTER PACK in 1 CARTON (51991-474-28) / 28 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Apr 17, 2008

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)
Estradiol / Norethindrone Acetate
Generic name (nonproprietary)
estradiol and norethindrone acetate
Active ingredients
Estradiol — 1 mg/1Norethindrone acetate — .5 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Breckenridge Pharmaceutical, Inc.NDC labeler code 51991
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078324
Marketing start
Listing expires
Other FDA classes
Estradiol Congeners (Chemical structure)Estrogen Receptor Agonists (Mechanism)Progesterone Congeners (Chemical structure)
Identifiers
Product ID 51991-474_d0f8f0e6-e2b1-40ff-8b4b-0ed8a7525689SPL ID d0f8f0e6-e2b1-40ff-8b4b-0ed8a7525689SPL set ID 44125b2f-10ac-435c-bdb4-a29bf8450dbfRxCUI 1359123, 1359124, 1359126, 1359127UNII 9S44LIC7OJ, 4TI98Z838E
Pharmacologic class
Estrogen; Progestin

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

N451991047428 followed by a unit qualifier and the quantity

Package 51991-0474-28. 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)

Estradiol/Norethindrone Acetate Tablets are indicated for: Estradiol/Norethindrone Acetate Tablets are an estrogen and progestin combination indicated in a woman with a uterus for: Treatment of Moderate to Severe Vasomotor Symptoms due to Menopause ( 1.1 ) Treatment of Moderate to Severe Symptoms of Vulvar and Vaginal Atrophy due to Menopause ( 1.2 ) Limitations of Use : When prescribing solely for the treatment of moderate to severe symptoms of vulvar and vaginal atrophy due to menopause, first consider the use of topical vaginal products. Prevention of Postmenopausal Osteoporosis ( 1.3 ) Limitations of Use : When prescribing solely for the prevention of postmenopausal osteoporosis, first c…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 51991-474

What is NDC 51991-474?
51991-474 is the product NDC for Estradiol / Norethindrone Acetate, Estradiol 1 mg/1; Norethindrone acetate .5 mg/1 tablet, film coated, listed with the FDA by Breckenridge Pharmaceutical, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Estradiol / Norethindrone Acetate (Estradiol and Norethindrone Acetate).
What is the active ingredient?
Estradiol, Norethindrone acetate.
Who is the labeler?
Breckenridge Pharmaceutical, Inc., NDC labeler code 51991. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Estradiol / Norethindrone Acetate?
2 other product NDCs are listed under this name. See all Estradiol / Norethindrone Acetate 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 Estradiol / Norethindrone Acetate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Estradiol / Norethindrone Acetateestradiol and norethindrone acetateEstradiol .5 mg/1; Norethindrone acetate .1 mg/1Tablet, Film coatedOralBreckenridge Pharmaceutical, Inc.51991-62351991-0623-28
Estradiol / Norethindrone Acetateestradiol and norethindrone acetateEstradiol 1 mg/1; Norethindrone acetate .5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-800350090-8003-00

Other NDCs under ANDA 078324

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

FDA NDC Directory listings under ANDA 078324
ProductStrengthForm · routeLabelerProduct NDC
Estradiol / Norethindrone Acetateestradiol and norethindrone acetateEstradiol 1 mg/1; Norethindrone acetate .5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-8003
Estradiol / Norethindrone Acetateestradiol and norethindrone acetateEstradiol .5 mg/1; Norethindrone acetate .1 mg/1Tablet, Film coatedOralBreckenridge Pharmaceutical, Inc.51991-623

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