NDC codes

FDA NDC Directory
Product NDC (as listed)68462-684Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68462-0684Add 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
68462-684-0168462068401100 TABLET, FILM COATED in 1 BOTTLE (68462-684-01)Marketed from Oct 16, 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)
sirolimus
Generic name (nonproprietary)
sirolimus
Active ingredients
Sirolimus — 2 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 208691
Marketing start
Listing expires
Other FDA classes
Decreased Immunologic Activity (Physiologic effect)Protein Kinase Inhibitors (Mechanism)mTOR Inhibitors (Mechanism)
Identifiers
Product ID 68462-684_72132b30-e98c-4f0c-9fb7-ecb63ba18224SPL ID 72132b30-e98c-4f0c-9fb7-ecb63ba18224SPL set ID 57fb4d90-3ccb-4a69-af1e-53be83f7a504RxCUI 349208, 360110, 905158UNII W36ZG6FT64UPC 0368462682012
Pharmacologic class
Kinase Inhibitor; mTOR Inhibitor 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

N468462068401 followed by a unit qualifier and the quantity

Package 68462-0684-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

• Sirolimus tablets are an mTOR inhibitor immunosuppressant indicated for the prophylaxis of organ rejection in patients aged ≥13 years receiving renal transplants: ○ Patients at low- to moderate-immunologic risk: Use initially with cyclosporine (CsA) and corticosteroids. CsA withdrawal is recommended 2 to 4 months after transplantation ( 1.1 ). ○ Patients at high-immunologic risk: Use in combination with CsA and corticosteroids for the first 12 months following transplantation ( 1.1 ). Safety and efficacy of CsA withdrawal has not been established in high risk patients ( 1.1 , 1.2 , 14.3 ). 1.1 Prophylaxis of Organ Rejection in Renal Transplantation Sirolimus tablets are indicated for the p…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 208691

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

FDA NDC Directory listings under ANDA 208691
ProductStrengthForm · routeLabelerProduct NDC
sirolimusSirolimus .5 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-4449
sirolimusSirolimus 2 mg/1Tablet, Film coatedOralNORTHSTAR RX LLC16714-189
sirolimusSirolimus 1 mg/1Tablet, Film coatedOralGlenmark Pharmaceuticals Inc., USA68462-683
sirolimusSirolimus .5 mg/1Tablet, Film coatedOralNORTHSTAR RX LLC16714-187
sirolimusSirolimus 1 mg/1Tablet, Film coatedOralNORTHSTAR RX LLC16714-188
sirolimusSirolimus .5 mg/1Tablet, Film coatedOralGlenmark Pharmaceuticals Inc., USA68462-682

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