Disulfiram NDC 62135-431

NDC codes

FDA NDC Directory

Product NDC (as listed)62135-431Labeler and product segments. Claims need a package NDC.

Product NDC at billing width62135-0431Add 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
62135-431-30	62135043130	30 TABLET in 1 BOTTLE (62135-431-30)Marketed from Nov 2, 2021
62135-431-90	62135043190	90 TABLET in 1 BOTTLE (62135-431-90)Marketed from Nov 2, 2021

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): Disulfiram
Generic name (nonproprietary): disulfiram
Active ingredients: Disulfiram — 250 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Chartwell RX, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 091563
Marketing start: Dec 31, 2012
Listing expires: Dec 31, 2026
Other FDA classes: Acetyl Aldehyde Dehydrogenase Inhibitors (Mechanism)
Identifiers: Product ID 62135-431_06fe77f7-a1e1-f066-e063-6294a90a7653SPL ID 06fe77f7-a1e1-f066-e063-6294a90a7653SPL set ID 07abe950-3565-418c-8086-b804406a8c87RxCUI 197623, 197624UNII TR3MLJ1UAIUPC 0362135431303, 0362135431907, 0362135432904, 0362135432300
Pharmacologic class: Aldehyde Dehydrogenase 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

N462135043130 followed by a unit qualifier and the quantity

Package 62135-0431-30. 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 Oct 5, 2023.

Indications (excerpt from the label)

INDICATIONS AND USAGE Disulfiram is an aid in the management of selected chronic alcohol patients who want to remain in a state of enforced sobriety so that supportive and psychotherapeutic treatment may be applied to best advantage. Disulfiram is not a cure for alcoholism. When used alone, without proper motivation and supportive therapy, it is unlikely that it will have any substantive effect on the drinking pattern of the chronic alcoholic.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 091563

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

FDA NDC Directory listings under ANDA 091563
Product	Strength	Form · route	Labeler	Product NDC
Disulfiram	Disulfiram 500 mg/1	TabletOral	Chartwell RX, LLC	62135-432