NDC codes

FDA NDC Directory
Product NDC (as listed)59651-439Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59651-0439Add 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
59651-439-0859651043908596510439088 APPLICATOR in 1 CARTON (59651-439-08) / 1 TABLET, FILM COATED in 1 APPLICATORMarketed from Aug 2, 2024
59651-439-18596510439185965104391818 APPLICATOR in 1 CARTON (59651-439-18) / 1 TABLET, FILM COATED in 1 APPLICATORMarketed from Aug 2, 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)
Estradiol Vaginal Inserts
Generic name (nonproprietary)
estradiol
Active ingredients
Estradiol hemihydrate — 10 ug/1
Dosage form
Tablet, Film coated
Route
Vaginal
Labeler
Aurobindo Pharma LimitedNDC labeler code 59651
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 216550
Marketing start
Listing expires
Other FDA classes
Estradiol Congeners (Chemical structure)Estrogen Receptor Agonists (Mechanism)
Identifiers
Product ID 59651-439_2df3b31e-32a6-49cd-a636-5b7779a5ed0cSPL ID 2df3b31e-32a6-49cd-a636-5b7779a5ed0cSPL set ID 6247e329-e20e-4ea5-9cc1-b593bd494577RxCUI 884707UNII CXY7B3Q98Z
Pharmacologic class
Estrogen

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N459651043908 followed by a unit qualifier and the quantity

Package 59651-0439-08. 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)

Estradiol vaginal inserts are an estrogen indicated for the treatment of atrophic vaginitis due to menopause ( 1.1 ) 1.1 Treatment of Atrophic Vaginitis due to Menopause .

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 59651-439

What is NDC 59651-439?
59651-439 is the product NDC for Estradiol Vaginal Inserts (estradiol), Estradiol hemihydrate 10 ug/1 tablet, film coated, listed with the FDA by Aurobindo Pharma Limited. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Estradiol Vaginal Inserts (Estradiol).
What is the active ingredient?
Estradiol hemihydrate.
Who is the labeler?
Aurobindo Pharma Limited, NDC labeler code 59651. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Estradiol Vaginal Inserts?
2 other product NDCs are listed under this name. See all Estradiol Vaginal Inserts NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Estradiol Vaginal Inserts NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Estradiol Vaginal InsertsestradiolEstradiol hemihydrate 10 ug/1Tablet, Film coatedVaginalNorthStar Rx LLC72603-87472603-0874-0872603-0874-18
Estradiol Vaginal InsertsestradiolEstradiol 10 ug/1Tablet, Film coatedVaginalGlenmark Pharmaceuticals Inc., USA68462-71168462-0711-7168462-0711-88

Other NDCs under ANDA 216550

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

FDA NDC Directory listings under ANDA 216550
ProductStrengthForm · routeLabelerProduct NDC
Estradiol Vaginal InsertsestradiolEstradiol hemihydrate 10 ug/1Tablet, Film coatedVaginalNorthStar Rx LLC72603-874

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