NDC codes

FDA NDC Directory
Product NDC (as listed)57841-1301Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57841-1301Add 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
57841-1301-1578411301015784113010130 TABLET, FILM COATED in 1 BOTTLE (57841-1301-1)Marketed from Oct 1, 2020
57841-1301-2578411301025784113010290 TABLET, FILM COATED in 1 BOTTLE (57841-1301-2)Marketed from Oct 1, 2020
57841-1301-3578411301035784113010310 BLISTER PACK in 1 CARTON (57841-1301-3) / 10 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Oct 1, 2020
57841-1301-457841130104578411301041 BLISTER PACK in 1 CARTON (57841-1301-4) / 3 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Oct 1, 2020 · Sample package

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)
Movantik
Generic name (nonproprietary)
naloxegol oxalate
Active ingredients
Naloxegol oxalate — 25 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
RedHill Biopharma LtdNDC labeler code 57841
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 204760
Marketing start
Marketing end
Other FDA classes
Opioid Antagonists (Mechanism)
Identifiers
Product ID 57841-1301_27e98e6d-9faf-3a94-e063-6394a90a1dcbSPL ID 27e98e6d-9faf-3a94-e063-6394a90a1dcbSPL set ID 300a6474-ebcd-4404-8040-48fdcfcc1635RxCUI 1551782, 1551917, 1551923, 1601373UNII 65I14TNM33UPC 0357841130114, 0357841130015
Pharmacologic class
Opioid 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

N457841130101 followed by a unit qualifier and the quantity

Package 57841-1301-01. 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 .

Indications (excerpt from the label)

MOVANTIK ® is indicated for the treatment of opioid-induced constipation (OIC) in adult patients with chronic non-cancer pain, including patients with chronic pain related to prior cancer or its treatment who do not require frequent (e.g., weekly) opioid dosage escalation. MOVANTIK is an opioid antagonist indicated for the treatment of opioid-induced constipation (OIC) in adult patients with chronic non-cancer pain, including patients with chronic pain related to prior cancer or its treatment who do not require frequent (e.g., weekly) opioid dosage escalation. (1)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 57841-1301

What is NDC 57841-1301?
57841-1301 is the product NDC for Movantik (naloxegol oxalate), Naloxegol oxalate 25 mg/1 tablet, film coated, listed with the FDA by RedHill Biopharma Ltd. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Movantik (Naloxegol oxalate).
What is the active ingredient?
Naloxegol oxalate.
Who is the labeler?
RedHill Biopharma Ltd, NDC labeler code 57841. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Movantik?
2 other product NDCs are listed under this name. See all Movantik 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 Movantik NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Movantiknaloxegol oxalateNaloxegol oxalate 12.5 mg/1Tablet, Film coatedOralAveritas Pharma, Inc.82625-880182625-8801-0182625-8801-0282625-8801-03+1 more
Movantiknaloxegol oxalateNaloxegol oxalate 25 mg/1Tablet, Film coatedOralAveritas Pharma, Inc.82625-880282625-8802-0182625-8802-0282625-8802-03+1 more

Other NDCs under NDA 204760

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

FDA NDC Directory listings under NDA 204760
ProductStrengthForm · routeLabelerProduct NDC
Movantiknaloxegol oxalateNaloxegol oxalate 12.5 mg/1Tablet, Film coatedOralAveritas Pharma, Inc.82625-8801
Movantiknaloxegol oxalateNaloxegol oxalate 25 mg/1Tablet, Film coatedOralAveritas Pharma, Inc.82625-8802

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