NDC codes

FDA NDC Directory
Product NDC (as listed)67877-507Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0507Add 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
67877-507-01678770507011000 TABLET in 1 BOTTLE (67877-507-01)Marketed from Dec 24, 2017
67877-507-306787705073030 TABLET in 1 BOTTLE (67877-507-30)Marketed from Dec 24, 2017
67877-507-386787705073810 BLISTER PACK in 1 CARTON (67877-507-38) / 10 TABLET in 1 BLISTER PACK (67877-507-33)Marketed from Dec 24, 2017
67877-507-906787705079090 TABLET in 1 BOTTLE (67877-507-90)Marketed from Dec 24, 2017

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)
Ezetimibe and Simvastatin
Generic name (nonproprietary)
ezetimibe and simvastatin
Active ingredients
Ezetimibe10 mg/1Simvastatin10 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209222
Marketing start
Listing expires
Other FDA classes
Decreased Cholesterol Absorption (Physiologic effect)Hydroxymethylglutaryl-CoA Reductase Inhibitors (Mechanism)
Identifiers
Product ID 67877-507_ca1a42e2-f129-462a-8e87-a034da71862bSPL ID ca1a42e2-f129-462a-8e87-a034da71862bSPL set ID c90e8c96-e130-42d7-bf0d-5833652e40d5RxCUI 476345, 476349, 476350, 476351UNII EOR26LQQ24, AGG2FN16EVUPC 0367877507309, 0367877510057, 0367877508016, 0367877509907
Pharmacologic class
Dietary Cholesterol Absorption Inhibitor; HMG-CoA Reductase 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

N467877050701 followed by a unit qualifier and the quantity

Package 67877-0507-01. 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 .

Indications (excerpt from the label)

Ezetimibe and Simvastatin Ezetimibe and simvastatin is a combination of simvastatin and ezetimibe indicated: • As an adjunct to diet to reduce elevated low density lipoprotein cholesterol (LDL-C): o In adults with primary hyperlipidemia. o In adults and pediatric patients aged 10 years and older with heterozygous familial hypercholesterolemia (HeFH). • As an adjunct to other LDL-C-lowering therapies to reduce elevated LDL-C in adults with homozygous familial hypercholesterolemia (HoFH). Simvastatin Simvastatin, when used as a component of ezetimibe and simvastatin, is indicated to reduce the risk of total mortality by reducing risk of coronary heart disease death, non-fatal myocardial infarc

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209222

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

FDA NDC Directory listings under ANDA 209222
ProductStrengthForm · routeLabelerProduct NDC
Ezetimibe and SimvastatinEzetimibe 10 mg/1; Simvastatin 80 mg/1TabletOralAscend Laboratories, LLC67877-510
Ezetimibe and SimvastatinEzetimibe 10 mg/1; Simvastatin 20 mg/1TabletOralAscend Laboratories, LLC67877-508
Ezetimibe and SimvastatinEzetimibe 10 mg/1; Simvastatin 40 mg/1TabletOralAscend Laboratories, LLC67877-509
Ezetimibe and SimvastatinEzetimibe 10 mg/1; Simvastatin 40 mg/1TabletOralA-S Medication Solutions50090-4772

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