NDC codes

FDA NDC Directory
Product NDC (as listed)58181-3042Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58181-3042Add 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
58181-3042-5581813042051 BOTTLE in 1 CARTON (58181-3042-5) / 5 CAPSULE, GELATIN COATED in 1 BOTTLEMarketed from Aug 18, 2014

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)
Gleostine
Generic name (nonproprietary)
lomustine
Active ingredients
Lomustine — 100 mg/1
Dosage form
Capsule, Gelatin coated
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 017588
Marketing start
Listing expires
Other FDA classes
Alkylating Activity (Mechanism)
Identifiers
Product ID 58181-3042_0fa10522-2034-c417-e063-6394a90a2cf5SPL ID 0fa10522-2034-c417-e063-6394a90a2cf5SPL set ID 7f77526b-4c40-409c-82ea-d0f934d89cc2RxCUI 197894, 197895, 197896, 1545776, 1545778, 1545780UNII 7BRF0Z81KG
Pharmacologic class
Alkylating Drug

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

N458181304205 followed by a unit qualifier and the quantity

Package 58181-3042-05. 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)

Gleostine is an alkylating drug indicated for the treatment of patients with: Brain tumors, primary and metastatic, following appropriate surgical and/or radiotherapeutic procedures. ( 1 ) Hodgkin's lymphoma in combination with other chemotherapies, following disease progression with initial chemotherapy. ( 1 ) 1.1 Brain Tumors Gleostine is indicated for the treatment of patients with primary and metastatic brain tumors following appropriate surgical and/or radiotherapeutic procedures. 1.2 Hodgkin's Lymphoma Gleostine is indicated as a component of combination chemotherapy for the treatment of patients with Hodgkin's lymphoma whose disease has progressed following initial chemotherapy.…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 017588

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

FDA NDC Directory listings under NDA 017588
ProductStrengthForm · routeLabelerProduct NDC
GleostinelomustineLomustine 10 mg/1Capsule, Gelatin coatedOralAzurity Pharmaceuticals, Inc.24338-340
GleostinelomustineLomustine 40 mg/1Capsule, Gelatin coatedOralAzurity Pharmaceuticals, Inc.24338-341
GleostinelomustineLomustine 100 mg/1Capsule, Gelatin coatedOralAzurity Pharmaceuticals, Inc.24338-342
LomustineLomustine 10 mg/1Capsule, Gelatin coatedOralWilshire Pharmaceuticals, Inc.52536-340
LomustineLomustine 40 mg/1Capsule, Gelatin coatedOralWilshire Pharmaceuticals, Inc.52536-341
LomustineLomustine 100 mg/1Capsule, Gelatin coatedOralWilshire Pharmaceuticals, Inc.52536-342
GleostinelomustineLomustine 40 mg/1Capsule, Gelatin coatedOralNextSource Biotechnology, LLC58181-3041
GleostinelomustineLomustine 10 mg/1Capsule, Gelatin coatedOralNextSource Biotechnology, LLC58181-3040

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Gleostine (lomustine) NDC 58181-3042 | Med-Code