NDC codes

FDA NDC Directory
Product NDC (as listed)63629-2612Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-2612Add 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
63629-2612-16362926120110 TABLET in 1 BOTTLE (63629-2612-1)Marketed from Jun 13, 2011
63629-2612-26362926120230 TABLET in 1 BOTTLE (63629-2612-2)Marketed from Aug 17, 2007
63629-2612-3636292612035 TABLET in 1 BOTTLE (63629-2612-3)Marketed from Aug 12, 2011
63629-2612-46362926120460 TABLET in 1 BOTTLE (63629-2612-4)Marketed from Jun 14, 2016
63629-2612-56362926120590 TABLET in 1 BOTTLE (63629-2612-5)Marketed from Jul 28, 2021
63629-2612-66362926120620 TABLET in 1 BOTTLE (63629-2612-6)Marketed from Jul 8, 2024
63629-2612-763629261207100 TABLET in 1 BOTTLE (63629-2612-7)Marketed from Oct 9, 2017

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)
Medroxyprogesterone Acetate
Generic name (nonproprietary)
medroxyprogesterone acetate
Active ingredients
Medroxyprogesterone acetate10 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040159
Marketing start
Listing expires
Other FDA classes
Progesterone Congeners (Chemical structure)
Identifiers
Product ID 63629-2612_73260b93-2e18-45ed-88f8-dbb0b33e91e1SPL ID 73260b93-2e18-45ed-88f8-dbb0b33e91e1SPL set ID bdb89690-ced2-48e1-bb1a-e5eccfeda8ebRxCUI 1000114UNII C2QI4IOI2G
Pharmacologic class
Progestin

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

N463629261201 followed by a unit qualifier and the quantity

Package 63629-2612-01. 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 AND USAGE Medroxyprogesterone acetate tablets, USP are indicated for the treatment of secondary amenorrhea and abnormal uterine bleeding due to hormonal imbalance in the absence of organic pathology, such as fibroids or uterine cancer. They are also indicated for use in the prevention of endometrial hyperplasia in nonhysterectomized postmenopausal women who are receiving daily oral conjugated estrogens 0.625 mg tablets.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 040159

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

FDA NDC Directory listings under ANDA 040159
ProductStrengthForm · routeLabelerProduct NDC
Medroxyprogesterone AcetateMedroxyprogesterone acetate 5 mg/1TabletOralTeva Pharmaceuticals USA, Inc.0555-0873
Medroxyprogesterone AcetateMedroxyprogesterone acetate 5 mg/1TabletOralA-S Medication Solutions50090-0491
Medroxyprogesterone AcetateMedroxyprogesterone acetate 2.5 mg/1TabletOralA-S Medication Solutions50090-0490
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralBryant Ranch Prepack63629-8824
Medroxyprogesterone AcetateMedroxyprogesterone acetate 2.5 mg/1TabletOralBryant Ranch Prepack63629-8825
Medroxyprogesterone AcetateMedroxyprogesterone acetate 5 mg/1TabletOralBryant Ranch Prepack63629-8826
Medroxyprogesterone AcetateMedroxyprogesterone acetate 2.5 mg/1TabletOralCoupler LLC67046-1480
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralTeva Pharmaceuticals USA, Inc.0555-0779
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralREMEDYREPACK INC.70518-3070
Medroxyprogesterone AcetateMedroxyprogesterone acetate 2.5 mg/1TabletOralTeva Pharmaceuticals USA, Inc.0555-0872
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralNorthwind Health Company, LLC51655-520
Medroxyprogesterone AcetateMedroxyprogesterone acetate 5 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8112
Medroxyprogesterone AcetateMedroxyprogesterone acetate 2.5 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-043
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralAmerican Health Packaging60687-105
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralProficient Rx LP63187-382
MedroxyprogesteroneMedroxyprogesterone acetate 10 mg/1TabletOralPharmPak, Inc.54348-805
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.55289-160
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralA-S Medication Solutions50090-0166
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralPreferred Pharmaceuticals, Inc.68788-9899
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-4132

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