NDC codes

FDA NDC Directory
Product NDC (as listed)63629-1915Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-1915Add 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
63629-1915-16362919150160 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (63629-1915-1)Marketed from Jan 14, 2021

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Indomethacin
Generic name (nonproprietary)
indomethacin
Active ingredients
Indomethacin75 mg/1
Dosage form
Capsule, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 201807
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
Identifiers
Product ID 63629-1915_a75319fd-57ba-4694-96bc-57aaae08aff5SPL ID a75319fd-57ba-4694-96bc-57aaae08aff5SPL set ID c6126527-5272-4477-8716-d05365a05225RxCUI 310992UNII XXE1CET956

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

N463629191501 followed by a unit qualifier and the quantity

Package 63629-1915-01. 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)

INDICATIONS & USAGE Carefully consider the potential benefits and risks of indomethacin extended-release capsules and other treatment options before deciding to use indomethacin extended-release capsules. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals (see WARNINGS ). Indomethacin extended-release capsules have been found effective in active stages of the following: 1. Moderate to severe rheumatoid arthritis including acute flares of chronic disease. 2. Moderate to severe ankylosing spondylitis. 3. Moderate to severe osteoarthritis. 4. Acute painful shoulder (bursitis and/or tendinitis). Indomethacin extended-release capsules, USP a

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 201807

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

FDA NDC Directory listings under ANDA 201807
ProductStrengthForm · routeLabelerProduct NDC
IndomethacinIndomethacin 75 mg/1Capsule, Extended releaseOralREMEDYREPACK INC.70518-0515
IndomethacinIndomethacin 75 mg/1Capsule, Extended releaseOralSportpharm LLC85766-034
Indomethacin ERindomethacinIndomethacin 75 mg/1Capsule, Extended releaseOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0271
IndomethacinIndomethacin 75 mg/1Capsule, Extended releaseOralCamber Pharmaceuticals, Inc.31722-565
IndomethacinIndomethacin 75 mg/1Capsule, Extended releaseOralAsclemed USA, Inc.76420-029
IndomethacinIndomethacin 75 mg/1Capsule, Extended releaseOralBryant Ranch Prepack71335-0756
IndomethacinIndomethacin 75 mg/1Capsule, Extended releaseOralProficient Rx LP71205-822
IndomethacinIndomethacin 75 mg/1Capsule, Extended releaseOralNorthwind Health Company, LLC51655-443
IndomethacinIndomethacin 75 mg/1Capsule, Extended releaseOralBryant Ranch Prepack72162-1302

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