NDC codes

FDA NDC Directory
Product NDC (as listed)58657-810Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58657-0810Add 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
58657-810-215865708102121 TABLET in 1 BOTTLE (58657-810-21)Marketed from Jun 1, 2019

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)
Pyridostigmine Bromide
Generic name (nonproprietary)
pyridostigmine bromide
Active ingredients
Pyridostigmine bromide30 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211181
Marketing start
Listing expires
Other FDA classes
Cholinesterase Inhibitors (Mechanism)
Identifiers
Product ID 58657-810_41b66d64-08b1-bd0c-e063-6394a90a5b86SPL ID 41b66d64-08b1-bd0c-e063-6394a90a5b86SPL set ID e756717f-941b-42f2-ba3b-03798c005ae7RxCUI 903841UNII KVI301NA53
Pharmacologic class
Cholinesterase 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

N458657081021 followed by a unit qualifier and the quantity

Package 58657-0810-21. 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)

INDICATIONS AND USAGE Pyridostigmine bromide tablets are useful in the treatment of myasthenia gravis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 211181

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

FDA NDC Directory listings under ANDA 211181
ProductStrengthForm · routeLabelerProduct NDC
Pyridostigmine BromidePyridostigmine bromide 60 mg/1TabletOralMethod Pharmaceuticals, LLC58657-811

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