NDC codes

FDA NDC Directory
Product NDC (as listed)67457-386Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67457-0386Add 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
67457-386-8167457038681674570386814 VIAL in 1 CARTON (67457-386-81) / 20 mL in 1 VIAL (67457-386-00)Marketed from Jan 26, 2021

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)
Mycophenolate Mofetil
Generic name (nonproprietary)
mycophenolate mofetil
Active ingredients
Mycophenolate mofetil — 500 mg/20mL
Dosage form
Injection, Powder, Lyophilized, For solution
Route
Intravenous
Labeler
Mylan Institutional LLCNDC labeler code 67457
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203859
Marketing start
Listing expires
Identifiers
Product ID 67457-386_4c643876-2577-4197-ac9b-81bab65d1362SPL ID 4c643876-2577-4197-ac9b-81bab65d1362SPL set ID da02b428-42a4-4007-b0b7-695f2db010f2RxCUI 311881UNII 9242ECW6R0
Pharmacologic class
Antimetabolite Immunosuppressant

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N467457038681 followed by a unit qualifier and the quantity

Package 67457-0386-81. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Mycophenolate mofetil (MMF) is indicated for the prophylaxis of organ rejection, in adult and pediatric recipients 3 months of age and older of allogeneic kidney [see Clinical Studies (14.1) ], heart [see Clinical Studies (14.2) ] or liver transplants [see Clinical Studies (14.3) ] , in combination with other immunosuppressants. Mycophenolate mofetil is an antimetabolite immunosuppressant indicated for the prophylaxis of organ rejection in adult and pediatric recipients 3 months of age and older of allogeneic kidney, heart or liver transplants, in combination with other immunosuppressants. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67457-386

What is NDC 67457-386?
67457-386 is the product NDC for Mycophenolate Mofetil, Mycophenolate mofetil 500 mg/20mL injection, powder, lyophilized, for solution, listed with the FDA by Mylan Institutional LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Mycophenolate Mofetil.
What is the active ingredient?
Mycophenolate mofetil.
Who is the labeler?
Mylan Institutional LLC, NDC labeler code 67457. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Mycophenolate Mofetil?
57 other product NDCs are listed under this name. See all Mycophenolate Mofetil 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 Mycophenolate Mofetil NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
mycophenolate mofetilMycophenolate mofetil 250 mg/1CapsuleOralCardinal Health 107, LLC55154-016155154-0161-00
Mycophenolate MofetilMycophenolate mofetil 200 mg/mLPowder, For suspensionOralStrides Pharma Science Limited64380-89964380-0899-00
Mycophenolate MofetilMycophenolate mofetil 200 mg/mLPowder, For suspensionOralQUAGEN PHARMACEUTICALS LLC70752-29470752-0294-60
Mycophenolate MofetilMycophenolate mofetil 200 mg/mLPowder, For suspensionOralNorthStar Rx LLC72603-75172603-0751-01
mycophenolate mofetilMycophenolate mofetil 250 mg/1CapsuleOralMajor Pharmaceuticals0904-746600904-7466-61
Mycophenolate MofetilMycophenolate mofetil 250 mg/1CapsuleOralWuxi Fortune Pharmaceutical Co.,Ltd.65050-207365050-2073-00
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-437770518-4377-00
Mycophenolate mofetilMycophenolate mofetil 250 mg/1CapsuleOralAvKARE73190-00973190-0009-0173190-0009-50
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralAvKARE73190-01073190-0010-0173190-0010-50
mycophenolate mofetilMycophenolate mofetil 250 mg/1CapsuleOralAmerican Health Packaging60687-88560687-0885-01

All 58 Mycophenolate Mofetil NDCs

Free account

Log in to keep searching

You’ve used your 3 free searches. Med-Code is free: log in or create a free profile to keep looking up NDCs, J-codes and drugs.

Create a free profileLog in