NDC codes

FDA NDC Directory
Product NDC (as listed)58657-418Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58657-0418Add 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
58657-418-0158657041801100 TABLET in 1 BOTTLE (58657-418-01)Marketed from Mar 10, 2025

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)
Esterified Estrogens And Methyltestosterone Half Strength
Generic name (nonproprietary)
esterified estrogens, methyltestosterone
Active ingredients
Estrogens, Esterified.625 mg/1Methyltestosterone1.25 mg/1
Dosage form
Tablet
Route
Oral
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 58657-418_30a68873-f9ef-4de8-e063-6394a90ab5a4SPL ID 30a68873-f9ef-4de8-e063-6394a90ab5a4SPL set ID 2ff36c19-8112-8db3-e063-6394a90a04c6RxCUI 197670, 238006UNII V9EFU16ZIF, 3ASP8Q3768UPC 0358657419011, 0358657418014
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

N458657041801 followed by a unit qualifier and the quantity

Package 58657-0418-01. 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

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