NDC codes

FDA NDC Directory
Product NDC (as listed)68084-918Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68084-0918Add 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
68084-918-256808409182530 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-918-25) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK (68084-918-95)Marketed from Apr 2, 2015

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)
Mycophenolic Acid
Generic name (nonproprietary)
mycophenolic acid
Active ingredients
Mycophenolate sodium — 360 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091558
Marketing start
Listing expires
Identifiers
Product ID 68084-918_5799bba8-e17a-d73f-e063-6294a90acde4SPL ID 5799bba8-e17a-d73f-e063-6294a90acde4SPL set ID 26b31126-4262-4a15-8a16-234c86763176RxCUI 485020, 485023UNII WX877SQI1G
Pharmacologic class
Antimetabolite Immunosuppressant

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

N468084091825 followed by a unit qualifier and the quantity

Package 68084-0918-25. 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 091558

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

FDA NDC Directory listings under ANDA 091558
ProductStrengthForm · routeLabelerProduct NDC
Mycophenolic AcidMycophenolate sodium 180 mg/1Tablet, Delayed releaseOralMajor Pharmaceuticals0904-6785
Mycophenolic AcidMycophenolate sodium 360 mg/1Tablet, Delayed releaseOralMajor Pharmaceuticals0904-6786
Mycophenolic AcidMycophenolate sodium 180 mg/1Tablet, Delayed releaseOralApotex Corp60505-2965
Mycophenolic AcidMycophenolate sodium 360 mg/1Tablet, Delayed releaseOralApotex Corp60505-2966
Mycophenolic AcidMycophenolate sodium 180 mg/1Tablet, Delayed releaseOralGolden State Medical Supply, Inc.60429-016
Mycophenolic AcidMycophenolate sodium 360 mg/1Tablet, Delayed releaseOralGolden State Medical Supply, Inc.60429-017
Mycophenolic AcidMycophenolate sodium 180 mg/1Tablet, Delayed releaseOralAmerican Health Packaging68084-907

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