NDC codes

FDA NDC Directory
Product NDC (as listed)57664-020Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57664-0020Add 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
57664-020-97576640020973 BLISTER PACK in 1 BOX (57664-020-97) / 10 CAPSULE in 1 BLISTER PACK (57664-020-98)Marketed from Dec 29, 2020

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)
Isotretinoin
Generic name (nonproprietary)
isotretinoin
Active ingredients
Isotretinoin10 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 021951
Marketing start
Listing expires
Other FDA classes
Retinoids (Chemical structure)
Identifiers
Product ID 57664-020_0e924cf6-5375-28c4-e063-6294a90a4ac4SPL ID 0e924cf6-5375-28c4-e063-6294a90a4ac4SPL set ID b44200ba-6672-4ea7-b151-7caec3f53c9cRxCUI 197843, 197844, 197845, 403930, 1547561, 1547565UNII EH28UP18IF
Pharmacologic class
Retinoid

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

N457664002097 followed by a unit qualifier and the quantity

Package 57664-0020-97. 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)

Isotretinoin capsules are indicated for the treatment of severe recalcitrant nodular acne in non-pregnant patients 12 years of age and older with multiple inflammatory nodules with a diameter of 5 mm or greater. Because of significant adverse reactions associated with its use, isotretinoin capsules are reserved for patients with severe nodular acne who are unresponsive to conventional therapy, including systemic antibiotics. Limitations of Use : If a second course of isotretinoin capsules therapy is needed, it is not recommended before a two-month waiting period because the patient’s acne may continue to improve following a 15 to 20-week course of therapy [see Dosage and Administration (2.2)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021951

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

FDA NDC Directory listings under NDA 021951
ProductStrengthForm · routeLabelerProduct NDC
AbsoricaisotretinoinIsotretinoin 10 mg/1CapsuleOralSun Pharmaceutical Industries, Inc.10631-115
AbsoricaisotretinoinIsotretinoin 20 mg/1CapsuleOralSun Pharmaceutical Industries, Inc.10631-116
AbsoricaisotretinoinIsotretinoin 30 mg/1CapsuleOralSun Pharmaceutical Industries, Inc.10631-117
AbsoricaisotretinoinIsotretinoin 40 mg/1CapsuleOralSun Pharmaceutical Industries, Inc.10631-118
AbsoricaisotretinoinIsotretinoin 25 mg/1CapsuleOralSun Pharmaceutical Industries, Inc.10631-133
AbsoricaisotretinoinIsotretinoin 35 mg/1CapsuleOralSun Pharmaceutical Industries, Inc.10631-134
IsotretinoinIsotretinoin 30 mg/1CapsuleOralSun Pharmaceutical Industries, Inc.57664-023
IsotretinoinIsotretinoin 20 mg/1CapsuleOralSun Pharmaceutical Industries, Inc.57664-021
IsotretinoinIsotretinoin 25 mg/1CapsuleOralSun Pharmaceutical Industries, Inc.57664-022
IsotretinoinIsotretinoin 35 mg/1CapsuleOralSun Pharmaceutical Industries, Inc.57664-024
IsotretinoinIsotretinoin 40 mg/1CapsuleOralSun Pharmaceutical Industries, Inc.57664-025

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