Deferasirox NDC 67877-552

NDC codes

FDA NDC Directory

Product NDC (as listed)67877-552Labeler and product segments. Claims need a package NDC.

Product NDC at billing width67877-0552Add 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 NDC	11-digit (billing)	Package	Copy
67877-552-30	67877055230	30 TABLET, FILM COATED in 1 BOTTLE (67877-552-30)Marketed from Apr 1, 2020
67877-552-90	67877055290	90 TABLET, FILM COATED in 1 BOTTLE (67877-552-90)Marketed from Apr 1, 2020

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): Deferasirox
Generic name (nonproprietary): deferasirox
Active ingredients: Deferasirox — 90 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Ascend Laboratories, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 210555
Marketing start: Apr 1, 2020
Listing expires: Dec 31, 2026
Other FDA classes: Cytochrome P450 1A2 Inhibitors (Mechanism)Cytochrome P450 2C8 Inhibitors (Mechanism)Cytochrome P450 3A4 Inducers (Mechanism)Iron Chelating Activity (Mechanism)
Identifiers: Product ID 67877-552_5e8c386f-5879-4f68-bc6f-38041072f5adSPL ID 5e8c386f-5879-4f68-bc6f-38041072f5adSPL set ID 0fb210b3-6a3d-4313-83ce-52012e384f9bRxCUI 1607784, 1607792, 1607796UNII V8G4MOF2V9
Pharmacologic class: Iron Chelator

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

N467877055230 followed by a unit qualifier and the quantity

Package 67877-0552-30. 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

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