NDC codes

FDA NDC Directory
Product NDC (as listed)58657-403Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58657-0403Add 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
58657-403-015865704030158657040301100 TABLET in 1 BOTTLE (58657-403-01)Marketed from Jun 15, 2024

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)
Estratest H.S.
Generic name (nonproprietary)
esterified estrogens, methyltestosterone
Active ingredients
Estrogens, Esterified — .625 mg/1Methyltestosterone — 1.25 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Method Pharmaceuticals, LLCNDC labeler code 58657
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
DEA schedule
CIII
Other FDA classes
Androgen Receptor Agonists (Mechanism)Androstanes (Chemical structure)
Identifiers
Product ID 58657-403_41b4c56d-4bd6-f1cf-e063-6394a90a332dSPL ID 41b4c56d-4bd6-f1cf-e063-6394a90a332dSPL set ID 1ab6a396-b384-7958-e063-6394a90abfddRxCUI 197670, 209251, 209253, 238006UNII V9EFU16ZIF, 3ASP8Q3768UPC 0358657404017, 0358657403010
Pharmacologic class
Androgen

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

N458657040301 followed by a unit qualifier and the quantity

Package 58657-0403-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE ESTRATEST H.S. AND ESTRATEST F.S. are indicated in the treatment of: Moderate to severe vasomotor symptoms associated with the menopause in those patients not improved by estrogens alone. (There is no evidence that estrogens are effective for nervous symptoms or depression without associated vasomotor symptoms, and they should not be used to treat such conditions.) ESTRATEST H.S. AND ESTRATEST F.S. HAVE NOT BEEN SHOWN TO BE EFFECTIVE FOR ANY PURPOSE DURING PREGNANCY AND ITS USE MAY CAUSE SEVERE HARM TO THE FETUS (SEE BOXED WARNING ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58657-403

What is NDC 58657-403?
58657-403 is the product NDC for Estratest H.S., Estrogens, Esterified .625 mg/1; Methyltestosterone 1.25 mg/1 tablet, listed with the FDA by Method Pharmaceuticals, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Estratest H.S. (Esterified estrogens, Methyltestosterone).
What is the active ingredient?
Estrogens, Esterified, Methyltestosterone.
Who is the labeler?
Method Pharmaceuticals, LLC, NDC labeler code 58657. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Estratest H.S.?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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