NDC codes

FDA NDC Directory
Product NDC (as listed)65862-604Labeler and product segments. Claims need a package NDC.
Product NDC at billing width65862-0604Add 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
65862-604-786586206047810 BLISTER PACK in 1 CARTON (65862-604-78) / 10 TABLET in 1 BLISTER PACK (65862-604-10)Marketed from Oct 26, 2012
65862-604-906586206049090 TABLET in 1 BOTTLE (65862-604-90)Marketed from Oct 26, 2012
65862-604-99658620604991000 TABLET in 1 BOTTLE (65862-604-99)Marketed from Oct 26, 2012

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)
Pramipexole Dihydrochloride
Generic name (nonproprietary)
pramipexole dihydrochloride
Active ingredients
Pramipexole dihydrochloride — .125 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202633
Marketing start
Listing expires
Other FDA classes
Dopamine Agonists (Mechanism)
Identifiers
Product ID 65862-604_1e01cf5f-29b7-40ce-8c46-40f8dc65ce3eSPL ID 1e01cf5f-29b7-40ce-8c46-40f8dc65ce3eSPL set ID 3f90971a-e005-4dd3-bb93-b09125ada3c8RxCUI 858625, 859033, 859040, 859044, 859048, 859052UNII 3D867NP06JUPC 0365862604903
Pharmacologic class
Nonergot Dopamine Agonist

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

N465862060478 followed by a unit qualifier and the quantity

Package 65862-0604-78. 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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