NDC codes

FDA NDC Directory
Product NDC (as listed)63539-193Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63539-0193Add 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
63539-193-306353901933030 TABLET, FILM COATED in 1 BOTTLE (63539-193-30)Marketed from Feb 21, 2018 · Sample package

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)
Bosulif
Generic name (nonproprietary)
bosutinib
Active ingredients
Bosutinib monohydrate400 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 203341
Marketing start
Listing expires
Other FDA classes
Bcr-Abl Tyrosine Kinase Inhibitors (Mechanism)
Identifiers
Product ID 63539-193_18405060-7e60-4a8d-ad8f-cf6e338ec217SPL ID 18405060-7e60-4a8d-ad8f-cf6e338ec217SPL set ID d5929f91-6496-4c0e-97e8-0bd524e15763RxCUI 1307624, 1307630, 1987732, 1987734UNII 844ZJE6I55
Pharmacologic class
Kinase 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

N463539019330 followed by a unit qualifier and the quantity

Package 63539-0193-30. 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 .

Indications (excerpt from the label)

BOSULIF is indicated for the treatment of: • Adult and pediatric patients 1 year of age and older with chronic phase (CP) Philadelphia chromosome-positive chronic myelogenous leukemia (Ph+ CML), newly-diagnosed or resistant or intolerant to prior therapy [see Clinical Studies ( 14.1 , 14.2 , 14.3 )] . • Adult patients with accelerated phase (AP), or blast phase (BP) Ph+ CML with resistance or intolerance to prior therapy [see Clinical Studies (14.2) ] . BOSULIF is a kinase inhibitor indicated for the treatment of • adult and pediatric patients 1 year of age and older with chronic phase Ph+ chronic myelogenous leukemia (CML), newly-diagnosed or resistant or intolerant to prior therapy. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 203341

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

FDA NDC Directory listings under NDA 203341
ProductStrengthForm · routeLabelerProduct NDC
BosulifbosutinibBosutinib monohydrate 100 mg/1Tablet, Film coatedOralPfizer Laboratories Div Pfizer Inc0069-0135
BosulifbosutinibBosutinib monohydrate 400 mg/1Tablet, Film coatedOralPfizer Laboratories Div Pfizer Inc0069-0193
BosulifbosutinibBosutinib monohydrate 500 mg/1Tablet, Film coatedOralPfizer Laboratories Div Pfizer Inc0069-0136

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