NDC codes

FDA NDC Directory
Product NDC (as listed)55154-0161Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55154-0161Add 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
55154-0161-05515401610010 BLISTER PACK in 1 BAG (55154-0161-0) / 1 CAPSULE in 1 BLISTER PACKMarketed from Sep 14, 2026

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 200197
Marketing start
Listing expires
Identifiers
Product ID 55154-0161_d5206789-61fd-4e05-816f-a732be7e914aSPL ID d5206789-61fd-4e05-816f-a732be7e914a
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

N455154016100 followed by a unit qualifier and the quantity

Package 55154-0161-00. 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

The FDA listing for this product does not reference a label (SPL) set.

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/1CapsuleOralAvPAK50268-557
mycophenolate mofetilMycophenolate mofetil 250 mg/1CapsuleOralAmerican Health Packaging60687-885
mycophenolate mofetilMycophenolate mofetil 250 mg/1CapsuleOralMajor Pharmaceuticals0904-7466

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