NDC codes

FDA NDC Directory
Product NDC (as listed)67877-506Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0506Add 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
67877-506-056787705060567877050605500 TABLET, FILM COATED in 1 BOTTLE (67877-506-05)Marketed from Oct 6, 2018
67877-506-30678770506306787705063030 TABLET, FILM COATED in 1 BOTTLE (67877-506-30)Marketed from Oct 6, 2018
67877-506-516787705065167877050651180 TABLET, FILM COATED in 1 BOTTLE (67877-506-51)Marketed from Oct 6, 2018
67877-506-90678770506906787705069090 TABLET, FILM COATED in 1 BOTTLE (67877-506-90)Marketed from Oct 6, 2018

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)
Colesevelam HCL
Generic name (nonproprietary)
colesevelam hcl
Active ingredients
Colesevelam hydrochloride — 625 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Ascend Laboratories, LLCNDC labeler code 67877
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209038
Marketing start
Listing expires
Other FDA classes
Bile-acid Binding Activity (Mechanism)
Identifiers
Product ID 67877-506_1505e4ef-7340-4164-b3f2-cdd36a67f92bSPL ID 1505e4ef-7340-4164-b3f2-cdd36a67f92bSPL set ID 4ffd02a3-86b8-4af7-b539-aa32e38c6b12RxCUI 866910UNII P4SG24WI5QUPC 0367877506517
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

N467877050605 followed by a unit qualifier and the quantity

Package 67877-0506-05. 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)

Colesevelam hydrochloride is a bile acid sequestrant indicated as an adjunct to diet and exercise to: • reduce elevated low-density lipoprotein cholesterol (LDL-C) in adults with primary hyperlipidemia ( 1.1 ). • reduce LDL-C levels in boys and postmenarchal girls, 10 to 17 years of age, with heterozygous familial hypercholesterolemia (HeFH), unable to reach LDL-C target levels despite an adequate trial of diet and lifestyle modification ( 1.1 ). • improve glycemic control in adults with type 2 diabetes mellitus ( 1.2 ). Limitations of Use ( 1.3 ): • Do not use for treatment of type 1 diabetes or for diabetic ketoacidosis. • Not studied in Fredrickson Type I, III, IV, and V dyslipidemias 1.1…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67877-506

What is NDC 67877-506?
67877-506 is the product NDC for Colesevelam HCL, Colesevelam hydrochloride 625 mg/1 tablet, film coated, listed with the FDA by Ascend Laboratories, LLC. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Colesevelam HCL.
What is the active ingredient?
Colesevelam hydrochloride.
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 Colesevelam HCL?
6 other product NDCs are listed under this name. See all Colesevelam HCL 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 Colesevelam HCL NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-437150090-4371-00
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-781150090-7811-00
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralBryant Ranch Prepack63629-876763629-8767-01
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-290571335-2905-01
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralBryant Ranch Prepack72162-184672162-1846-02
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralPD-Rx Pharmaceuticals, Inc.72789-47672789-0476-93

Other NDCs under ANDA 209038

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

FDA NDC Directory listings under ANDA 209038
ProductStrengthForm · routeLabelerProduct NDC
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-4371
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-7811
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralBryant Ranch Prepack63629-8767
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-2905
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralBryant Ranch Prepack72162-1846
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralPD-Rx Pharmaceuticals, Inc.72789-476

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