Droxidopa NDC 67877-704

NDC codes

FDA NDC Directory

Product NDC (as listed)67877-704Labeler and product segments. Claims need a package NDC.

Product NDC at billing width67877-0704Add 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
67877-704-05	67877070405	500 CAPSULE in 1 BOTTLE (67877-704-05)Marketed from Feb 19, 2021
67877-704-90	67877070490	90 CAPSULE in 1 BOTTLE (67877-704-90)Marketed from Feb 19, 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): Droxidopa
Generic name (nonproprietary): droxidopa
Active ingredients: Droxidopa — 100 mg/1
Dosage form: Capsule
Route: Oral
Labeler: Ascend Laboratories, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 213911
Marketing start: Feb 19, 2021
Listing expires: Dec 31, 2026
Other FDA classes: Catecholamines (Chemical structure)Increased Blood Pressure (Physiologic effect)
Identifiers: Product ID 67877-704_15a3d787-2fea-4455-9932-dd2eae43ac5fSPL ID 15a3d787-2fea-4455-9932-dd2eae43ac5fSPL set ID 6091958e-f04e-47c0-9eef-9c204df4edd9RxCUI 1490026, 1490034, 1490038UNII J7A92W69L7UPC 0367877704906, 0367877705903, 0367877706900

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

N467877070405 followed by a unit qualifier and the quantity

Package 67877-0704-05. 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 Jul 21, 2025. This label includes a boxed warning.

Indications (excerpt from the label)

Droxidopa capsules is indicated for the treatment of orthostatic dizziness, lightheadedness, or the “feeling that you are about to black out” in adult patients with symptomatic neurogenic orthostatic hypotension (nOH) caused by primary autonomic failure (Parkinson's disease [PD], multiple system atrophy, and pure autonomic failure), dopamine beta-hydroxylase deficiency, and non-diabetic autonomic neuropathy. Effectiveness beyond 2 weeks of treatment has not been established. The continued effectiveness of droxidopa capsules should be assessed periodically. Droxidopa capsule is indicated for the treatment of orthostatic dizziness, light headedness, or the “feeling that you are about to black …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 213911

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

FDA NDC Directory listings under ANDA 213911
Product	Strength	Form · route	Labeler	Product NDC
Droxidopa	Droxidopa 200 mg/1	CapsuleOral	Ascend Laboratories, LLC	67877-705
Droxidopa	Droxidopa 300 mg/1	CapsuleOral	Ascend Laboratories, LLC	67877-706
Droxidopa	Droxidopa 100 mg/1	CapsuleOral	CivicaScript LLC	82249-551
Droxidopa	Droxidopa 200 mg/1	CapsuleOral	CivicaScript LLC	82249-552
Droxidopa	Droxidopa 300 mg/1	CapsuleOral	CivicaScript LLC	82249-554