NDC codes

FDA NDC Directory
Product NDC (as listed)58151-402Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58151-0402Add 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
58151-402-77581510402775815104027790 TABLET, FILM COATED in 1 BOTTLE (58151-402-77)Marketed from Jun 22, 2026

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)
Revatio
Generic name (nonproprietary)
sildenafil citrate
Active ingredients
Sildenafil citrate — 20 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Viatris Specialty LLCNDC labeler code 58151
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021845
Marketing start
Listing expires
Other FDA classes
Phosphodiesterase 5 Inhibitors (Mechanism)
Identifiers
Product ID 58151-402_51ddbcc2-2d9a-4b24-a02f-d97e2ae060a6SPL ID 51ddbcc2-2d9a-4b24-a02f-d97e2ae060a6SPL set ID 3bb9363e-b28d-4019-8aae-539233dca214RxCUI 577033, 581645, 882527, 882530, 1307427, 1307431UNII BW9B0ZE037
Pharmacologic class
Phosphodiesterase 5 Inhibitor

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

N458151040277 followed by a unit qualifier and the quantity

Package 58151-0402-77. 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)

Adults REVATIO is indicated for the treatment of pulmonary arterial hypertension (PAH) (World Health Organization [WHO] Group I) in adults to improve exercise ability and delay clinical worsening [see Clinical Studies (14) ] . Pediatric Patients (1 to 17 Years Old) REVATIO is indicated in pediatric patients 1 to 17 years old for the treatment of pulmonary arterial hypertension (PAH) (WHO Group I) to improve exercise ability and, in pediatric patients too young to perform standardized exercise testing, pulmonary hemodynamics thought to underlie improvements in exercise [see Clinical Studies (14) ] . Adults REVATIO is a phosphodiesterase-5 (PDE-5) inhibitor indicated for the treatment of pulmo…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58151-402

What is NDC 58151-402?
58151-402 is the product NDC for Revatio (sildenafil citrate), Sildenafil citrate 20 mg/1 tablet, film coated, listed with the FDA by Viatris Specialty LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Revatio (Sildenafil citrate).
What is the active ingredient?
Sildenafil citrate.
Who is the labeler?
Viatris Specialty LLC, NDC labeler code 58151. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Revatio?
3 other product NDCs are listed under this name. See all Revatio 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 Revatio NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Revatiosildenafil citrateSildenafil citrate .8 mg/mLInjection, SolutionIntravenousViatris Specialty LLC58151-39558151-0395-31
Revatiosildenafil citrateSildenafil citrate 10 mg/mLPowder, For suspensionOralViatris Specialty LLC58151-385—
Revatiosildenafil citrateSildenafil citrate 20 mg/1Tablet, Film coatedOralPFIZER LABORATORIES DIV PFIZER INC0069-419000069-4190-68

Other NDCs under NDA 021845

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

FDA NDC Directory listings under NDA 021845
ProductStrengthForm · routeLabelerProduct NDC
Revatiosildenafil citrateSildenafil citrate 20 mg/1Tablet, Film coatedOralPFIZER LABORATORIES DIV PFIZER INC0069-4190

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