NDC codes

FDA NDC Directory
Product NDC (as listed)61269-404Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61269-0404Add 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
61269-404-606126904046060 CAPSULE in 1 BOTTLE (61269-404-60)Marketed from Jul 16, 2015

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)
Droxia
Generic name (nonproprietary)
hydroxyurea
Active ingredients
Hydroxyurea — 400 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 016295
Marketing start
Listing expires
Other FDA classes
Urea (Chemical structure)
Identifiers
Product ID 61269-404_f57fbea0-8124-4877-b7c6-f1b154d8c659SPL ID f57fbea0-8124-4877-b7c6-f1b154d8c659SPL set ID a9494409-3571-4a81-9ad3-15ef7cb636a2RxCUI 200342, 200343, 200344, 213282, 213283, 213284UNII X6Q56QN5QC
Pharmacologic class
Antimetabolite

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

N461269040460 followed by a unit qualifier and the quantity

Package 61269-0404-60. 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)

DROXIA is indicated to reduce the frequency of painful crises and to reduce the need for blood transfusions in patients with sickle cell anemia with recurrent moderate to severe painful crises. DROXIA is an antimetabolite indicated to reduce the frequency of painful crises and to reduce the need for blood transfusions in patients with sickle cell anemia with recurrent moderate to severe painful crises. (1)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 016295

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

FDA NDC Directory listings under NDA 016295
ProductStrengthForm · routeLabelerProduct NDC
DroxiahydroxyureaHydroxyurea 300 mg/1CapsuleOralWaylis Therapeutics LLC80725-830
HydreahydroxyureaHydroxyurea 500 mg/1CapsuleOralWaylis Therapeutics LLC80725-810
DroxiahydroxyureaHydroxyurea 200 mg/1CapsuleOralWaylis Therapeutics LLC80725-820
DroxiahydroxyureaHydroxyurea 400 mg/1CapsuleOralWaylis Therapeutics LLC80725-840
DroxiahydroxyureaHydroxyurea 300 mg/1CapsuleOralH2-Pharma LLC61269-403
DroxiahydroxyureaHydroxyurea 200 mg/1CapsuleOralH2-Pharma LLC61269-402
HydreahydroxyureaHydroxyurea 500 mg/1CapsuleOralH2-Pharma LLC61269-835

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