NDC codes

FDA NDC Directory
Product NDC (as listed)67877-217Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0217Add 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
67877-217-0167877021701100 TABLET, FILM COATED in 1 BOTTLE (67877-217-01)Marketed from Jan 31, 2011
67877-217-0567877021705500 TABLET, FILM COATED in 1 BOTTLE (67877-217-05)Marketed from Jan 31, 2011
67877-217-10678770217101000 TABLET, FILM COATED in 1 BOTTLE (67877-217-10)Marketed from Jan 31, 2011
67877-217-386787702173810 BLISTER PACK in 1 CARTON (67877-217-38) / 10 TABLET, FILM COATED in 1 BLISTER PACK (67877-217-33)Marketed from Jan 31, 2011

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)
Metformin Hydrochloride
Generic name (nonproprietary)
metformin hydrochloride
Active ingredients
Metformin hydrochloride — 500 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091184
Marketing start
Listing expires
Other FDA classes
Biguanides (Chemical structure)
Identifiers
Product ID 67877-217_4fa6bd66-7f2c-4b63-9809-be460cbc2527SPL ID 4fa6bd66-7f2c-4b63-9809-be460cbc2527SPL set ID 0ff1ba75-3c86-4baf-a6b1-1bb883839866RxCUI 860975, 860981, 861004, 861007, 861010UNII 786Z46389EUPC 0367877221014, 0367877218014, 0367877414904, 0367877413907
Pharmacologic class
Biguanide

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

N467877021701 followed by a unit qualifier and the quantity

Package 67877-0217-01. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

Metformin hydrochloride tablets is indicated as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients 10 years of age and older with type 2 diabetes mellitus. Metformin hydrochloride extended-release tablets is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Metformin is a biguanide indicated as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients 10 years of age and older with type 2 diabetes mellitus. ( 1 ) Metformin is a biguanide indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. ( 1…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 091184

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

FDA NDC Directory listings under ANDA 091184
ProductStrengthForm · routeLabelerProduct NDC
Metformin HydrochlorideMetformin hydrochloride 850 mg/1Tablet, Film coatedOralAscend Laboratories, LLC67877-218
Metformin HydrochlorideMetformin hydrochloride 1000 mg/1Tablet, Film coatedOralAscend Laboratories, LLC67877-221

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