NDC codes

FDA NDC Directory
Product NDC (as listed)68788-8099Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68788-8099Add 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
68788-8099-36878880990330 TABLET, FILM COATED in 1 BOTTLE (68788-8099-3)Marketed from Oct 6, 2021
68788-8099-66878880990660 TABLET, FILM COATED in 1 BOTTLE (68788-8099-6)Marketed from Oct 6, 2021
68788-8099-96878880990990 TABLET, FILM COATED in 1 BOTTLE (68788-8099-9)Marketed from Oct 6, 2021

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Montelukast
Generic name (nonproprietary)
montelukast
Active ingredients
Montelukast sodium — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202843
Marketing start
Listing expires
Other FDA classes
Leukotriene Receptor Antagonists (Mechanism)
Identifiers
Product ID 68788-8099_9fe0882e-a654-4c1c-8d46-9f5fc7daadb3SPL ID 9fe0882e-a654-4c1c-8d46-9f5fc7daadb3SPL set ID 94642db1-5c75-44c4-92b4-8385b486df82RxCUI 200224UNII U1O3J18SFL
Pharmacologic class
Leukotriene Receptor Antagonist

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

N468788809903 followed by a unit qualifier and the quantity

Package 68788-8099-03. 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)

Montelukast sodium tablets are a leukotriene receptor antagonist indicated for: • Prophylaxis and chronic treatment of asthma in patients 15 years of age and older • Acute prevention of exercise-induced bronchoconstriction (EIB) in patients 15 years of age and older • Relief of symptoms of allergic rhinitis (AR): seasonal allergic rhinitis (SAR) in patients 15 years of age and older, and perennial allergic rhinitis (PAR) in patients 15 years of age and older. Reserve use for patients who have an inadequate response or intolerance to alternative therapies 1.1 Asthma Montelukast sodium tablets are indicated for the prophylaxis and chronic treatment of asthma in adults and pediatric patients 15…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 202843

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

FDA NDC Directory listings under ANDA 202843
ProductStrengthForm · routeLabelerProduct NDC
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralAvPAK50268-556
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-8075
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralDirect_Rx72189-418
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-563
Montelukastmontelukast sodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6109
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6108
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-6808
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralXLCare Pharmaceuticals Inc.72865-175
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-3133
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-1979
MontelukastMontelukast sodium 10 mg/1Tablet, Film coatedOralQuallent Pharmaceuticals Health LLC82009-009
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralCamber Pharmaceuticals, Inc.31722-726

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