NDC codes

FDA NDC Directory
Product NDC (as listed)57237-255Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57237-0255Add 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
57237-255-30572370255305723702553030 TABLET, FILM COATED in 1 BOTTLE (57237-255-30)Marketed from Aug 3, 2012
57237-255-90572370255905723702559090 TABLET, FILM COATED in 1 BOTTLE (57237-255-90)Marketed from Aug 3, 2012

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)
Montelukast Sodium
Generic name (nonproprietary)
montelukast sodium
Active ingredients
Montelukast sodium — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Rising Pharma Holdings, Inc.NDC labeler code 57237
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202468
Marketing start
Listing expires
Other FDA classes
Leukotriene Receptor Antagonists (Mechanism)
Identifiers
Product ID 57237-255_b17c2611-11a0-4762-a99d-3552a93b79cdSPL ID b17c2611-11a0-4762-a99d-3552a93b79cdSPL set ID 49669ac0-0bb5-4576-bed5-9e85e0d76a44RxCUI 200224, 242438, 311759UNII U1O3J18SFL
Pharmacologic class
Leukotriene Receptor Antagonist

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

N457237025530 followed by a unit qualifier and the quantity

Package 57237-0255-30. 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)

Montelukast sodium is a leukotriene receptor antagonist indicated for: Prophylaxis and chronic treatment of asthma in patients 2 years of age and older ( 1.1 ). Acute prevention of exercise-induced bronchoconstriction (EIB) in patients 6 years of age and older ( 1.2 ). Relief of symptoms of allergic rhinitis (AR): seasonal allergic rhinitis (SAR) in patients 2 years of age and older, and perennial allergic rhinitis (PAR) in patients 2 years of age and older. Reserve use for patients who have an inadequate response or intolerance to alternative therapies ( 1.3 ). Limitations of Use: Not indicated to treat an acute asthma attack ( 5.2 ). 1.1 Asthma Montelukast sodium is indicated for the proph…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 57237-255

What is NDC 57237-255?
57237-255 is the product NDC for Montelukast Sodium, Montelukast sodium 10 mg/1 tablet, film coated, listed with the FDA by Rising Pharma Holdings, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Montelukast Sodium.
What is the active ingredient?
Montelukast sodium.
Who is the labeler?
Rising Pharma Holdings, Inc., NDC labeler code 57237. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Montelukast Sodium?
70 other product NDCs are listed under this name. See all Montelukast Sodium 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 Montelukast Sodium NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Montelukast SodiumMontelukast sodium 10 mg/1TabletOralREMEDYREPACK INC.70518-475370518-4753-00
montelukast sodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralPreferred Pharmaceuticals Inc.68788-861768788-8617-0368788-8617-0668788-8617-09
Montelukast SodiumMontelukast sodium 10 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-861068788-8610-0368788-8610-0668788-8610-09
Montelukast SodiumMontelukast sodium 10 mg/1TabletOralRising Pharma Holdings, Inc.16571-10016571-0100-0916571-0100-10
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralDirect_Rx72189-41872189-0418-3072189-0418-90
Montelukast SodiumMontelukast 5 mg/1Tablet, ChewableOralDIRECT RX72189-22372189-0223-30
Montelukast SodiummontelukastMontelukast sodium 4 mg/1Tablet, ChewableOralAmneal Pharmaceuticals LLC65162-77165162-0771-03
Montelukast SodiummontelukastMontelukast sodium 5 mg/1Tablet, ChewableOralAmneal Pharmaceuticals LLC65162-77265162-0772-03
montelukast sodiumMontelukast 5 mg/1Tablet, ChewableOralPreferred Pharmaceuticals, Inc.68788-766968788-7669-0168788-7669-0268788-7669-03+3 more
Montelukast SodiumMontelukast sodium 4 mg/1GranuleOralAurobindo Pharma Limited59651-32959651-0329-30

All 71 Montelukast Sodium NDCs

Other NDCs under ANDA 202468

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

FDA NDC Directory listings under ANDA 202468
ProductStrengthForm · routeLabelerProduct NDC
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralProficient Rx LP71205-778
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralPD-Rx Pharmaceuticals, Inc.72789-306

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