NDC codes

FDA NDC Directory
Product NDC (as listed)59212-775Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59212-0775Add 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
59212-775-1059212077510100 TABLET, FILM COATED in 1 BOTTLE (59212-775-10)Marketed from Sep 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)
Salagen
Generic name (nonproprietary)
pilocarpine hydrochloride
Active ingredients
Pilocarpine hydrochloride — 7.5 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020237
Marketing start
Listing expires
Other FDA classes
Cholinergic Agonists (Mechanism)Cholinergic Muscarinic Agonists (Mechanism)
Identifiers
Product ID 59212-775_5e2a19b9-0694-43ac-9e0e-b40048495a1bSPL ID 5e2a19b9-0694-43ac-9e0e-b40048495a1bSPL set ID 62eda83d-d043-4c7e-8fcf-75d05efbf35bRxCUI 1000913, 1000915, 1001004, 1001006UNII 0WW6D218XJ
Pharmacologic class
Cholinergic Receptor Agonist

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

N459212077510 followed by a unit qualifier and the quantity

Package 59212-0775-10. 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 & USAGE SALAGEN ® Tablets are indicated for 1) the treatment of symptoms of dry mouth from salivary gland hypofunction caused by radiotherapy for cancer of the head and neck; and 2) the treatment of symptoms of dry mouth in patients with Sjogren's Syndrome.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 020237

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

FDA NDC Directory listings under NDA 020237
ProductStrengthForm · routeLabelerProduct NDC
Pilocarpine hydrochloridePilocarpine hydrochloride 7.5 mg/1Tablet, Film coatedOralActavis Pharma, Inc.0228-2837
Pilocarpine hydrochloridePilocarpine hydrochloride 5 mg/1Tablet, Film coatedOralAmerican Health Packaging68084-928
Salagenpilocarpine hydrochloridePilocarpine hydrochloride 5 mg/1Tablet, Film coatedOralAdvanz Pharma (US) Corp.59212-705
Pilocarpine hydrochloridePilocarpine hydrochloride 5 mg/1Tablet, Film coatedOralActavis Pharma, Inc.0228-2801

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