NDC codes

FDA NDC Directory
Product NDC (as listed)67877-514Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0514Add 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
67877-514-0567877051405500 TABLET, FILM COATED in 1 BOTTLE (67877-514-05)Marketed from Dec 23, 2018
67877-514-10678770514101000 TABLET, FILM COATED in 1 BOTTLE (67877-514-10)Marketed from Dec 23, 2018
67877-514-386787705143810 BLISTER PACK in 1 CARTON (67877-514-38) / 10 TABLET, FILM COATED in 1 BLISTER PACK (67877-514-33)Marketed from Dec 23, 2018
67877-514-906787705149090 TABLET, FILM COATED in 1 BOTTLE (67877-514-90)Marketed from Dec 23, 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)
Atorvastatin Calcium
Generic name (nonproprietary)
atorvastatin calcium
Active ingredients
Atorvastatin calcium trihydrate — 80 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209288
Marketing start
Listing expires
Other FDA classes
Hydroxymethylglutaryl-CoA Reductase Inhibitors (Mechanism)
Identifiers
Product ID 67877-514_777b866a-796a-4d15-8cb6-dd0c9a1856e2SPL ID 777b866a-796a-4d15-8cb6-dd0c9a1856e2SPL set ID 67e60880-091a-4df7-8696-6e6c42a490e2RxCUI 259255, 617310, 617311, 617312UNII 48A5M73Z4QUPC 0367877512051, 0367877513102, 0367877514109
Pharmacologic class
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

N467877051405 followed by a unit qualifier and the quantity

Package 67877-0514-05. 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)

Atorvastatin calcium is indicated: To reduce the risk of: Myocardial infarction (MI), stroke, revascularization procedures, and angina in adults with multiple risk factors for coronary heart disease (CHD) but without clinically evident CHD MI and stroke in adults with type 2 diabetes mellitus with multiple risk factors for CHD but without clinically evident CHD Non-fatal MI, fatal and non-fatal stroke, revascularization procedures, hospitalization for congestive heart failure, and angina in adults with clinically evident CHD As an adjunct to diet to reduce low-density lipoprotein cholesterol (LDL-C) in: Adults with primary hyperlipidemia. Adults and pediatric patients aged 10 years and older…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209288

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

FDA NDC Directory listings under ANDA 209288
ProductStrengthForm · routeLabelerProduct NDC
Atorvastatin CalciumAtorvastatin calcium trihydrate 20 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-5182
Atorvastatin CalciumAtorvastatin calcium trihydrate 20 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-5181
Atorvastatin CalciumAtorvastatin calcium trihydrate 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-5184
Atorvastatin CalciumAtorvastatin calcium trihydrate 40 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-5207
Atorvastatin CalciumAtorvastatin calcium trihydrate 40 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-5208
Atorvastatin CalciumAtorvastatin calcium trihydrate 10 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-5008
Atorvastatin CalciumAtorvastatin calcium trihydrate 20 mg/1Tablet, Film coatedOralQPharma, Inc.42708-141
Atorvastatin CalciumAtorvastatin calcium trihydrate 40 mg/1Tablet, Film coatedOralQPharma, Inc.42708-144
Atorvastatin CalciumAtorvastatin calcium trihydrate 20 mg/1Tablet, Film coatedOralNorthwind Health Company, LLC51655-464
Atorvastatin CalciumAtorvastatin calcium trihydrate 40 mg/1Tablet, Film coatedOralNorthwind Health Company, LLC51655-465
Atorvastatin CalciumAtorvastatin calcium trihydrate 40 mg/1Tablet, Film coatedOralAsclemed USA, Inc.76420-946
Atorvastatin CalciumAtorvastatin calcium trihydrate 10 mg/1Tablet, Film coatedOralAsclemed USA, Inc.76420-943
Atorvastatin CalciumAtorvastatin calcium trihydrate 20 mg/1Tablet, Film coatedOralAsclemed USA, Inc.76420-945
Atorvastatin CalciumAtorvastatin calcium trihydrate 80 mg/1Tablet, Film coatedOralAsclemed USA, Inc.76420-948
Atorvastatin CalciumAtorvastatin calcium trihydrate 40 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-5091
Atorvastatin CalciumAtorvastatin calcium trihydrate 20 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-3037
Atorvastatin CalciumAtorvastatin calcium trihydrate 80 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6061
Atorvastatin CalciumAtorvastatin calcium trihydrate 10 mg/1Tablet, Film coatedOralAscend Laboratories, LLC67877-511
Atorvastatin CalciumAtorvastatin calcium trihydrate 20 mg/1Tablet, Film coatedOralAscend Laboratories, LLC67877-512
Atorvastatin CalciumAtorvastatin calcium trihydrate 40 mg/1Tablet, Film coatedOralAscend Laboratories, LLC67877-513

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