Sirolimus NDC 59762-1003

NDC codes

FDA NDC Directory

Product NDC (as listed)59762-1003Labeler and product segments. Claims need a package NDC.

Product NDC at billing width59762-1003Add 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 NDC	11-digit (billing)	Package	Copy
59762-1003-1	59762100301	100 TABLET, SUGAR COATED in 1 BOTTLE (59762-1003-1)Marketed from Oct 27, 2014

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Sirolimus
Generic name (nonproprietary): sirolimus
Active ingredients: Sirolimus — 2 mg/1
Dosage form: Tablet, Sugar coated
Route: Oral
Labeler: Mylan Pharmaceuticals Inc.
Product type: Prescription drug
Marketing category: NDA authorized genericApplication NDA 021110
Marketing start: Oct 27, 2014
Listing expires: Dec 31, 2027
Other FDA classes: Decreased Immunologic Activity (Physiologic effect)Protein Kinase Inhibitors (Mechanism)mTOR Inhibitors (Mechanism)
Identifiers: Product ID 59762-1003_8f2761f9-9bc3-47c3-8093-6375a39d1034SPL ID 8f2761f9-9bc3-47c3-8093-6375a39d1034SPL set ID 5908cd1a-fc5a-462f-99ed-1d8983e253c9RxCUI 349208, 360110, 905158UNII W36ZG6FT64
Pharmacologic class: Kinase Inhibitor; mTOR Inhibitor Immunosuppressant

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

N459762100301 followed by a unit qualifier and the quantity

Package 59762-1003-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.