NDC codes

FDA NDC Directory
Product NDC (as listed)64122-605Labeler and product segments. Claims need a package NDC.
Product NDC at billing width64122-0605Add 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
64122-605-01641220605011 TABLET in 1 BLISTER PACK (64122-605-01)Marketed from Sep 14, 2017

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)
AfterPill
Generic name (nonproprietary)
levonorgestrel
Active ingredients
Levonorgestrel — 1.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 201446
Marketing start
Listing expires
Other FDA classes
Inhibit Ovum Fertilization (Physiologic effect)Progesterone Congeners (Chemical structure)Progesterone Congeners (Chemical structure)
Identifiers
Product ID 64122-605_375a97f0-1569-4470-961d-93261430b139SPL ID 375a97f0-1569-4470-961d-93261430b139SPL set ID 4d284ba4-9cd7-48e4-95b9-cd6d0367bfd1RxCUI 483325, 1545303UNII 5W7SIA7YZW
Pharmacologic class
Progestin; Progestin-containing Intrauterine System

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

N464122060501 followed by a unit qualifier and the quantity

Package 64122-0605-01. 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)

Indications Use for women to reduce chance of pregnancy after unprotected sex (if a contraceptive failed or if you did not use birth control).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 201446

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

FDA NDC Directory listings under ANDA 201446
ProductStrengthForm · routeLabelerProduct NDC
My WaylevonorgestrelLevonorgestrel 1.5 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-4294
My WaylevonorgestrelLevonorgestrel 1.5 mg/1TabletOralProficient Rx LP71205-361
My WaylevonorgestrelLevonorgestrel 1.5 mg/1TabletOralLupin Pharmaceuticals, Inc.68180-852

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