NDC codes

FDA NDC Directory
Product NDC (as listed)62756-720Labeler and product segments. Claims need a package NDC.
Product NDC at billing width62756-0720Add 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
62756-720-60627560720601 BLISTER PACK in 1 CARTON (62756-720-60) / 1 TABLET in 1 BLISTER PACKMarketed from Apr 1, 2018

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)
My Choice TM
Generic name (nonproprietary)
levonorgestrel
Active ingredients
Levonorgestrel1.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202635
Marketing start
Listing expires
Other FDA classes
Inhibit Ovum Fertilization (Physiologic effect)Progesterone Congeners (Chemical structure)Progesterone Congeners (Chemical structure)
Identifiers
Product ID 62756-720_8f45ff33-3872-495f-a05d-e74e0b4dc0c4SPL ID 8f45ff33-3872-495f-a05d-e74e0b4dc0c4SPL set ID 66753300-fb61-4f09-af74-ee498b0bd595RxCUI 483325, 1922759UNII 5W7SIA7YZW
Pharmacologic class
Progestin; Progestin-containing Intrauterine Device

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

N462756072060 followed by a unit qualifier and the quantity

Package 62756-0720-60. 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 .

Indications (excerpt from the label)

Use for women to reduce chance of pregnancy af ter unprotected sex (if a contraceptive failed or if you did not use bir th control)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 202635

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

FDA NDC Directory listings under ANDA 202635
ProductStrengthForm · routeLabelerProduct NDC
LevonorgestrelLevonorgestrel 1.5 mg/1TabletOralOhm Laboratories Inc.51660-723
LevonorgestrelLevonorgestrel 1.5 mg/1TabletOralOhm Laboratories Inc.51660-999
LEADER Emergency Contraceptive LevonorgestrellevonorgestrelLevonorgestrel 1.5 mg/1TabletOralCardinal Health 110, LLC. DBA Leader70000-0600
My Choice TMlevonorgestrelLevonorgestrel 1.5 mg/1TabletOralProficient Rx LP71205-120
LevonorgestrelLevonorgestrel 1.5 mg/1TabletOralThirty Madison Inc.71713-098
AfterPlanlevonorgestrelLevonorgestrel 1.5 mg/1TabletOralSUN PHARMACEUTICAL INDUSTRIES, INC.62756-723
Opcicon One-SteplevonorgestrelLevonorgestrel 1.5 mg/1TabletOralSun Pharmaceutical Industries, Inc.62756-718

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