NDC codes

FDA NDC Directory
Product NDC (as listed)55111-526Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55111-0526Add 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
55111-526-01551110526011 BOTTLE in 1 CARTON (55111-526-01) / 100 CAPSULE in 1 BOTTLEMarketed from May 14, 2010
55111-526-05551110526051 BOTTLE in 1 CARTON (55111-526-05) / 500 CAPSULE in 1 BOTTLEMarketed from May 14, 2010
55111-526-30551110526301 BOTTLE in 1 CARTON (55111-526-30) / 30 CAPSULE in 1 BOTTLEMarketed from May 14, 2010
55111-526-785511105267810 BLISTER PACK in 1 CARTON (55111-526-78) / 10 CAPSULE in 1 BLISTER PACK (55111-526-79)Marketed from May 14, 2010

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)
Tacrolimus
Generic name (nonproprietary)
tacrolimus
Active ingredients
Tacrolimus1 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090509
Marketing start
Listing expires
Other FDA classes
Calcineurin Inhibitors (Mechanism)
Identifiers
Product ID 55111-526_706bafff-d629-291c-5ce5-83d74a638860SPL ID 706bafff-d629-291c-5ce5-83d74a638860SPL set ID 61dee012-43af-0e9a-3843-9b9b91e022c4RxCUI 198377, 198378, 313190UNII WM0HAQ4WNMUPC 0355111527015, 0355111525011, 0355111526018
Pharmacologic class
Calcineurin Inhibitor 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

N455111052601 followed by a unit qualifier and the quantity

Package 55111-0526-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Tacrolimus capsule is a calcineurin-inhibitor immunosuppressant indicated for the prophylaxis of organ rejection in adult patients receiving allogeneic liver, kidney, or heart transplants, and pediatric patients receiving allogeneic liver transplants in combination with other immunosuppressants. ( 1.1 ) 1.1 Prophylaxis of Organ Rejection in Kidney, Liver or Heart Transplant Tacrolimus capsules are indicated for the prophylaxis of organ rejection, in adult patients receiving allogeneic kidney transplant [see Clinical Studies ( 14.1 )] , liver transplant [see Clinical Studies ( 14.2 )] , heart transplant [ see Clinical Studies ( 14.3 )] , and pediatric patients receiving allogeneic liver trans

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090509

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

FDA NDC Directory listings under ANDA 090509
ProductStrengthForm · routeLabelerProduct NDC
TacrolimusTacrolimus 1 mg/1CapsuleOralQuallent Pharmaceuticals Health LLC82009-054
TacrolimusTacrolimus 5 mg/1CapsuleOralAmerican Health Packaging68084-451
TacrolimusTacrolimus .5 mg/1CapsuleOralAmerican Health Packaging68084-449
TacrolimusTacrolimus 1 mg/1CapsuleOralAmerican Health Packaging68084-450
TacrolimusTacrolimus 5 mg/1CapsuleOralQuallent Pharmaceuticals Health LLC82009-165
TacrolimusTacrolimus .5 mg/1CapsuleOralQuallent Pharmaceuticals Health LLC82009-164
TacrolimusTacrolimus .5 mg/1CapsuleOralAvPAK50268-736
TacrolimusTacrolimus 1 mg/1CapsuleOralAvPAK50268-737
TacrolimusTacrolimus 5 mg/1CapsuleOralDr. Reddy's Laboratories Limited55111-527
TacrolimusTacrolimus .5 mg/1CapsuleOralDr. Reddy's Laboratories Limited55111-525
TacrolimusTacrolimus .5 mg/1CapsuleOralMajor Pharmaceuticals0904-6623
TacrolimusTacrolimus 5 mg/1CapsuleOralMajor Pharmaceuticals0904-6624

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