NDC codes

FDA NDC Directory
Product NDC (as listed)67877-749Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0749Add 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
67877-749-57678770749571 PACKET in 1 CARTON (67877-749-57) / 1 GRANULE, FOR SOLUTION in 1 PACKETMarketed from Oct 22, 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)
Fosfomycin Tromethamine
Generic name (nonproprietary)
fosfomycin tromethamine
Active ingredients
Fosfomycin tromethamine3 g/1
Dosage form
Granule, For solution
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214554
Marketing start
Listing expires
Identifiers
Product ID 67877-749_0ebb79a9-df22-4fec-b872-b020b5129b14SPL ID 0ebb79a9-df22-4fec-b872-b020b5129b14SPL set ID 48e352bc-52ea-4778-905a-60ef38a5c18aRxCUI 808917UNII 7FXW6U30GYUPC 0367877749570

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

N467877074957 followed by a unit qualifier and the quantity

Package 67877-0749-57. 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)

INDICATIONS & USAGE Fosfomycin tromethamine granules for oral solution is indicated only for the treatment of uncomplicated urinary tract infections (acute cystitis) in women due to susceptible strains of Escherichia coli and Enterococcus faecalis . Fosfomycin tromethamine granules for oral solution is not indicated for the treatment of pyelonephritis or perinephric abscess. If persistence or reappearance of bacteriuria occurs after treatment with fosfomycin tromethamine granules for oral solution, other therapeutic agents should be selected. (See PRECAUTIONS and CLINICAL STUDIES sections.)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 214554

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

FDA NDC Directory listings under ANDA 214554
ProductStrengthForm · routeLabelerProduct NDC
Fosfomycin TromethamineFosfomycin tromethamine 3 g/1Granule, For solutionOralA-S Medication Solutions50090-6130
Fosfomycin TromethamineFosfomycin tromethamine 3 g/1Granule, For solutionOralKesin Pharma Corporation81033-024

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