Methotrexate Sodium NDC 64850-330

NDC codes

FDA NDC Directory

Product NDC (as listed)64850-330Labeler and product segments. Claims need a package NDC.

Product NDC at billing width64850-0330Add 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 NDC	11-digit (billing)	Package	Copy
64850-330-01	64850033001	100 TABLET in 1 BOTTLE, PLASTIC (64850-330-01)Marketed from May 16, 2024

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): Methotrexate Sodium
Generic name (nonproprietary): methotrexate sodium
Active ingredients: Methotrexate sodium — 2.5 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Elite Laboratories, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 216453
Marketing start: May 16, 2024
Listing expires: Dec 31, 2027
Other FDA classes: Folic Acid Metabolism Inhibitors (Mechanism)
Identifiers: Product ID 64850-330_030a6bcf-d482-4c98-9d27-423235cdb930SPL ID 030a6bcf-d482-4c98-9d27-423235cdb930SPL set ID 89c05ea3-3be1-46dd-b112-29c436fd7289RxCUI 105585UNII 3IG1E710ZNUPC 0364850330015
Pharmacologic class: Folate Analog Metabolic 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

N464850033001 followed by a unit qualifier and the quantity

Package 64850-0330-01. 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

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