NDC codes

FDA NDC Directory
Product NDC (as listed)66658-204Labeler and product segments. Claims need a package NDC.
Product NDC at billing width66658-0204Add 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
66658-204-9066658020490666580204901 BOTTLE, GLASS in 1 CARTON (66658-204-90) / 90 mL in 1 BOTTLE, GLASSMarketed from Jun 1, 2016

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)
Orfadin
Generic name (nonproprietary)
nitisinone
Active ingredients
Nitisinone — 4 mg/mL
Dosage form
Suspension
Route
Oral
Labeler
Swedish Orphan Biovitrum AB (publ)NDC labeler code 66658
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 206356
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C9 Inhibitors (Mechanism)Cytochrome P450 2E1 Inducers (Mechanism)Hydroxyphenylpyruvate Dioxygenase Inhibitors (Mechanism)Organic Anion Transporter 1 Inhibitors (Mechanism)Organic Anion Transporter 3 Inhibitors (Mechanism)
Identifiers
Product ID 66658-204_463bdca4-b840-6f9f-e063-6294a90ab3b5SPL ID 463bdca4-b840-6f9f-e063-6294a90ab3b5SPL set ID 00307f42-748d-4227-8c6f-ed5f0a89ae0aRxCUI 1790310, 1790317UNII K5BN214699
Pharmacologic class
4-Hydroxyphenyl-Pyruvate Dioxygenase 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

N466658020490 followed by a unit qualifier and the quantity

Package 66658-0204-90. 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)

ORFADIN ® is indicated for the treatment of adult and pediatric patients with hereditary tyrosinemia type 1 (HT-1) in combination with dietary restriction of tyrosine and phenylalanine. ORFADIN is a hydroxy-phenylpyruvate dioxygenase inhibitor indicated for the treatment of adult and pediatric patients with hereditary tyrosinemia type 1 (HT-1) in combination with dietary restriction of tyrosine and phenylalanine. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 66658-204

What is NDC 66658-204?
66658-204 is the product NDC for Orfadin (nitisinone), Nitisinone 4 mg/mL suspension, listed with the FDA by Swedish Orphan Biovitrum AB (publ). It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Orfadin (Nitisinone).
What is the active ingredient?
Nitisinone.
Who is the labeler?
Swedish Orphan Biovitrum AB (publ), NDC labeler code 66658. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Orfadin?
4 other product NDCs are listed under this name. See all Orfadin 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 Orfadin NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
OrfadinnitisinoneNitisinone 2 mg/1CapsuleOralSWEDISH ORPHAN BIOVITRUM AB (PUBL)66658-10266658-0102-60
OrfadinnitisinoneNitisinone 5 mg/1CapsuleOralSWEDISH ORPHAN BIOVITRUM AB (PUBL)66658-10566658-0105-60
OrfadinnitisinoneNitisinone 10 mg/1CapsuleOralSWEDISH ORPHAN BIOVITRUM AB (PUBL)66658-11066658-0110-60
OrfadinnitisinoneNitisinone 20 mg/1CapsuleOralSWEDISH ORPHAN BIOVITRUM AB (PUBL)66658-12066658-0120-60

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