Mesalamine NDC 67877-717

NDC codes

FDA NDC Directory

Product NDC (as listed)67877-717Labeler and product segments. Claims need a package NDC.

Product NDC at billing width67877-0717Add 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
67877-717-05	67877071705	500 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (67877-717-05)Marketed from Jul 16, 2021
67877-717-12	67877071712	120 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (67877-717-12)Marketed from Jul 16, 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): Mesalamine
Generic name (nonproprietary): mesalamine
Active ingredients: Mesalamine — .375 g/1
Dosage form: Capsule, Extended release
Route: Oral
Labeler: Ascend Laboratories, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 214242
Marketing start: Jul 16, 2021
Listing expires: Dec 31, 2026
Other FDA classes: Aminosalicylic Acids (Chemical structure)
Identifiers: Product ID 67877-717_2eece16c-6316-4dc0-bf4f-25a3f1c08ae5SPL ID 2eece16c-6316-4dc0-bf4f-25a3f1c08ae5SPL set ID 43f69db3-81ac-4da4-a61f-fbba6299d9c2RxCUI 825130UNII 4Q81I59GXC
Pharmacologic class: Aminosalicylate

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

N467877071705 followed by a unit qualifier and the quantity

Package 67877-0717-05. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 214242

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

FDA NDC Directory listings under ANDA 214242
Product	Strength	Form · route	Labeler	Product NDC
Mesalamine	Mesalamine .375 g/1	Capsule, Extended releaseOral	AvPAK	50268-577
Mesalamine	Mesalamine .375 g/1	Capsule, Extended releaseOral	American Health Packaging	60687-650