NDC codes

FDA NDC Directory
Product NDC (as listed)64764-171Labeler and product segments. Claims need a package NDC.
Product NDC at billing width64764-0171Add 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
64764-171-0064764017100647640171007 CAPSULE, DELAYED RELEASE in 1 BOTTLE (64764-171-00)Marketed from Apr 12, 2010
64764-171-0164764017101647640171015 BLISTER PACK in 1 TRAY (64764-171-01) / 4 CAPSULE, DELAYED RELEASE in 1 BLISTER PACKMarketed from Apr 12, 2010
64764-171-0364764017103647640171031 BOTTLE in 1 CARTON (64764-171-03) / 5 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from Apr 12, 2010
64764-171-11647640171116476401711110 BLISTER PACK in 1 CARTON (64764-171-11) / 10 CAPSULE, DELAYED RELEASE in 1 BLISTER PACKMarketed from Apr 12, 2010
64764-171-1964764017119647640171191000 CAPSULE, DELAYED RELEASE in 1 BOTTLE (64764-171-19)Marketed from Apr 12, 2010
64764-171-30647640171306476401713030 CAPSULE, DELAYED RELEASE in 1 BOTTLE (64764-171-30)Marketed from Apr 12, 2010
64764-171-90647640171906476401719090 CAPSULE, DELAYED RELEASE in 1 BOTTLE (64764-171-90)Marketed from Apr 12, 2010

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)
Dexilant
Generic name (nonproprietary)
dexlansoprazole
Active ingredients
Dexlansoprazole — 30 mg/1
Dosage form
Capsule, Delayed release
Route
Oral
Labeler
Takeda Pharmaceuticals America, Inc.NDC labeler code 64764
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022287
Marketing start
Listing expires
Other FDA classes
Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 64764-171_402fdd3a-6183-4a0d-85ac-61d4221fc921SPL ID 402fdd3a-6183-4a0d-85ac-61d4221fc921SPL set ID 9819f033-3bbe-442e-8e92-45fec77b237dRxCUI 833204, 833213, 902624, 902626UNII UYE4T5I70XUPC 0364764175306, 0364764171308
Pharmacologic class
Proton Pump 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

N464764017100 followed by a unit qualifier and the quantity

Package 64764-0171-00. 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)

DEXILANT is a proton pump inhibitor (PPI) indicated in patients 12 years of age and older for: Healing of all grades of erosive esophagitis (EE). ( 1.1 ) Maintenance of healed EE and relief of heartburn. ( 1.2 ) Treatment of symptomatic non-erosive gastroesophageal reflux disease (GERD). ( 1.3 ) 1.1 Healing of Erosive Esophagitis DEXILANT ® is indicated in patients 12 years of age and older for healing of all grades of erosive esophagitis (EE) for up to eight weeks. 1.2 Maintenance of Healed Erosive Esophagitis and Relief of Heartburn DEXILANT is indicated in patients 12 years of age and older to maintain healing of EE and relief of heartburn for up to six months in adults and 16 weeks in pa…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 64764-171

What is NDC 64764-171?
64764-171 is the product NDC for Dexilant (dexlansoprazole), Dexlansoprazole 30 mg/1 capsule, delayed release, listed with the FDA by Takeda Pharmaceuticals America, Inc.. It has 7 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dexilant (Dexlansoprazole).
What is the active ingredient?
Dexlansoprazole.
Who is the labeler?
Takeda Pharmaceuticals America, Inc., NDC labeler code 64764. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Dexilant?
1 other product NDC are listed under this name. See all Dexilant 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 Dexilant NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
DexilantdexlansoprazoleDexlansoprazole 60 mg/1Capsule, Delayed releaseOralTakeda Pharmaceuticals America, Inc.64764-17564764-0175-0064764-0175-0164764-0175-02+4 more

Other NDCs under NDA 022287

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

FDA NDC Directory listings under NDA 022287
ProductStrengthForm · routeLabelerProduct NDC
DexilantdexlansoprazoleDexlansoprazole 60 mg/1Capsule, Delayed releaseOralTakeda Pharmaceuticals America, Inc.64764-175
Dexlansoprazole delayed releasedexlansoprazoleDexlansoprazole 60 mg/1Capsule, Delayed releaseOralA-S Medication Solutions50090-5944

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