NDC codes

FDA NDC Directory
Product NDC (as listed)63304-192Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63304-0192Add 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
63304-192-306330401923030 TABLET, EXTENDED RELEASE in 1 BOTTLE (63304-192-30)Marketed from Mar 5, 2013
63304-192-906330401929090 TABLET, EXTENDED RELEASE in 1 BOTTLE (63304-192-90)Marketed from Mar 5, 2013

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)
Desvenlafaxine
Generic name (nonproprietary)
desvenlafaxine
Active ingredients
Desvenlafaxine — 100 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 204150
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2D6 Inhibitors (Mechanism)Norepinephrine Uptake Inhibitors (Mechanism)Serotonin Uptake Inhibitors (Mechanism)
Identifiers
Product ID 63304-192_cd04a0b2-a7f2-4629-997f-af2a8e65f15bSPL ID cd04a0b2-a7f2-4629-997f-af2a8e65f15bSPL set ID 91cf39c9-4d26-480a-a3a3-a3d8d4c4d222RxCUI 790264, 790288UNII NG99554ANW

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

N463304019230 followed by a unit qualifier and the quantity

Package 63304-0192-30. 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

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

Other NDCs under NDA 204150

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

FDA NDC Directory listings under NDA 204150
ProductStrengthForm · routeLabelerProduct NDC
DesvenlafaxineDesvenlafaxine 50 mg/1Tablet, Extended releaseOralAlembic Pharmaceuticals Limited46708-152
DesvenlafaxineDesvenlafaxine 100 mg/1Tablet, Extended releaseOralAlembic Pharmaceuticals Limited46708-153
DesvenlafaxineDesvenlafaxine 50 mg/1Tablet, Extended releaseOralSun Pharmaceutical Industries, Inc.63304-191

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