NDC codes

FDA NDC Directory
Product NDC (as listed)52817-295Labeler and product segments. Claims need a package NDC.
Product NDC at billing width52817-0295Add 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
52817-295-00528170295001000 TABLET, FILM COATED in 1 BOTTLE (52817-295-00)Marketed from Aug 1, 2016
52817-295-905281702959090 TABLET, FILM COATED in 1 BOTTLE (52817-295-90)Marketed from Aug 1, 2016

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)
Sildenafil Citrate
Generic name (nonproprietary)
sildenafil
Active ingredients
Sildenafil citrate — 20 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204883
Marketing start
Listing expires
Other FDA classes
Phosphodiesterase 5 Inhibitors (Mechanism)
Identifiers
Product ID 52817-295_a8abd38f-2334-34e3-e053-2a95a90acb7dSPL ID a8abd38f-2334-34e3-e053-2a95a90acb7dSPL set ID c8864c64-22ad-402b-a1e8-cfb53fa02e80RxCUI 577033UNII BW9B0ZE037UPC 0352817295002, 0352817295903
Pharmacologic class
Phosphodiesterase 5 Inhibitor

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

N452817029500 followed by a unit qualifier and the quantity

Package 52817-0295-00. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 204883

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

FDA NDC Directory listings under ANDA 204883
ProductStrengthForm · routeLabelerProduct NDC
Sildenafil CitratesildenafilSildenafil citrate 20 mg/1Tablet, Film coatedOralProficient Rx LP71205-305
Sildenafil CitratesildenafilSildenafil citrate 20 mg/1Tablet, Film coatedOralProficient Rx LP71205-623
Sildenafil CitratesildenafilSildenafil citrate 20 mg/1Tablet, Film coatedOralAdvagen Pharma Ltd72888-018
Sildenafil CitratesildenafilSildenafil citrate 20 mg/1Tablet, Film coatedOralNorthwind Health Company, LLC82868-094
Sildenafil CitratesildenafilSildenafil citrate 20 mg/1Tablet, Film coatedOralNorthwind Health Company, LLC51655-793

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