NDC codes

FDA NDC Directory
Product NDC (as listed)67877-422Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0422Add 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
67877-422-246787704222467877042224240.156 g in 1 JAR (67877-422-24)Marketed from Oct 20, 2021
67877-422-60678770422606787704226060 POUCH in 1 CARTON (67877-422-60) / 5.718 g in 1 POUCH (67877-422-57)Marketed from Oct 20, 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)
Choleystyramine Light
Generic name (nonproprietary)
choleystyramine light
Active ingredients
Cholestyramine — 4 g/5.718g
Dosage form
Powder, For suspension
Route
Oral
Labeler
Ascend Laboratories, LLCNDC labeler code 67877
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211799
Marketing start
Listing expires
Other FDA classes
Bile-acid Binding Activity (Mechanism)
Identifiers
Product ID 67877-422_4880e0f1-3a01-431b-92ae-8cf788c73c41SPL ID 4880e0f1-3a01-431b-92ae-8cf788c73c41SPL set ID 4c9d4561-d5b5-463b-ac57-1bc4d84d135dRxCUI 1801279UNII 4B33BGI082
Pharmacologic class
Bile Acid Sequestrant

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

N467877042224 followed by a unit qualifier and the quantity

Package 67877-0422-24. 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)

INDICATIONS AND USAGE 1) Cholestyramine for Oral Suspension USP Light powder is indicated as adjunctive therapy to diet for the reduction of elevated serum cholesterol in patients with primary hypercholesterolemia (elevated low density lipoprotein [LDL] cholesterol) who do not respond adequately to diet. Cholestyramine for Oral Suspension USP Light powder may be useful to lower LDL cholesterol in patients who also have hypertriglyceridemia, but it is not indicated where hypertriglyceridemia is the abnormality of most concern. Therapy with lipid-altering agents should be a component of multiple risk factor intervention in those individuals at significantly increased risk for atherosclerotic v…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67877-422

What is NDC 67877-422?
67877-422 is the product NDC for Choleystyramine Light, Cholestyramine 4 g/5.718g powder, for suspension, listed with the FDA by Ascend Laboratories, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Choleystyramine Light.
What is the active ingredient?
Cholestyramine.
Who is the labeler?
Ascend Laboratories, LLC, NDC labeler code 67877. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Choleystyramine Light?
1 other product NDC are listed under this name. See all Choleystyramine Light 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 Choleystyramine Light NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Choleystyramine LightCholestyramine 4 g/5.718gPowder, For suspensionOralBryant Ranch Prepack63629-946663629-9466-01

Other NDCs under ANDA 211799

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

FDA NDC Directory listings under ANDA 211799
ProductStrengthForm · routeLabelerProduct NDC
Choleystyramine LightCholestyramine 4 g/5.718gPowder, For suspensionOralBryant Ranch Prepack63629-9466

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