NDC codes

FDA NDC Directory
Product NDC (as listed)63629-9312Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-9312Add 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
63629-9312-16362993120163629931201120 CAPSULE in 1 BOTTLE (63629-9312-1)Marketed from Aug 10, 2026

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)
Icosapent
Generic name (nonproprietary)
icosapent ethyl
Active ingredients
Icosapent ethyl — 1000 mg/1
Dosage form
Capsule
Route
Oral
Labeler
Bryant Ranch PrepackNDC labeler code 63629
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209499
Marketing start
Marketing end
Identifiers
Product ID 63629-9312_9a7d5eb6-95f1-4c0e-b51f-6b79ba2e3971SPL ID 9a7d5eb6-95f1-4c0e-b51f-6b79ba2e3971SPL set ID cc28828d-beab-45cc-a3b6-151c5fee3924RxCUI 1304979UNII 6GC8A4PAYH

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

N463629931201 followed by a unit qualifier and the quantity

Package 63629-9312-01. 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 .

Indications (excerpt from the label)

Icosapent ethyl capsules are indicated: as an adjunct to diet to reduce TG levels in adult patients with severe (≥ 500 mg/dL) hypertriglyceridemia. Limitations of Use: The effect of icosapent ethyl capsules on the risk for pancreatitis in patients with severe hypertriglyceridemia has not been determined. Icosapent ethyl capsules are an ethyl ester of eicosapentaenoic acid (EPA) indicated: as an adjunct to diet to reduce TG levels in adultpatients with severe (≥ 500 mg/dL) hypertriglyceridemia. ( 1 ) Limitations of Use: The effect of icosapent ethyl capsules on the risk for pancreatitis in patients with severe hypertriglyceridemia has not been determined. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63629-9312

What is NDC 63629-9312?
63629-9312 is the product NDC for Icosapent (icosapent ethyl), Icosapent ethyl 1000 mg/1 capsule, listed with the FDA by Bryant Ranch Prepack. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Icosapent (Icosapent Ethyl).
What is the active ingredient?
Icosapent ethyl.
Who is the labeler?
Bryant Ranch Prepack, NDC labeler code 63629. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Icosapent?
1 other product NDC are listed under this name. See all Icosapent NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Icosapent NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Icosapenticosapent ethylIcosapent ethyl 1000 mg/1CapsuleOralDr. Reddy's Laboratories, Inc.43598-26743598-0267-04

Other NDCs under ANDA 209499

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

FDA NDC Directory listings under ANDA 209499
ProductStrengthForm · routeLabelerProduct NDC
Icosapenticosapent ethylIcosapent ethyl 1000 mg/1CapsuleOralDr. Reddy's Laboratories, Inc.43598-267
Icosapent EthylIcosapent ethyl 500 mg/1CapsuleOralDr. Reddy's Laboratories, Inc.43598-746

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