NDC codes

FDA NDC Directory
Product NDC (as listed)69087-158Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69087-0158Add 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
69087-158-12690870158126908701581212 BOTTLE, PLASTIC in 1 BOX (69087-158-12) / 120 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTICMarketed from Aug 1, 2019

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)
Jatenzo
Generic name (nonproprietary)
testosterone undecanoate
Active ingredients
Testosterone undecanoate — 158 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Labeler
TOLMAR Inc.NDC labeler code 69087
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 206089
Marketing start
Listing expires
DEA schedule
CIII
Other FDA classes
Androgen Receptor Agonists (Mechanism)Androstanes (Chemical structure)
Identifiers
Product ID 69087-158_5bfbae09-d22e-4a86-a6a6-37fd926a3890SPL ID 5bfbae09-d22e-4a86-a6a6-37fd926a3890
Pharmacologic class
Androgen

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

N469087015812 followed by a unit qualifier and the quantity

Package 69087-0158-12. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 69087-158

What is NDC 69087-158?
69087-158 is the product NDC for Jatenzo (testosterone undecanoate), Testosterone undecanoate 158 mg/1 capsule, liquid filled, listed with the FDA by TOLMAR Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Jatenzo (Testosterone undecanoate).
What is the active ingredient?
Testosterone undecanoate.
Who is the labeler?
TOLMAR Inc., NDC labeler code 69087. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Jatenzo?
2 other product NDCs are listed under this name. See all Jatenzo NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Jatenzo NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Jatenzotestosterone undecanoateTestosterone undecanoate 198 mg/1Capsule, Liquid filledOralTOLMAR Inc.69087-19869087-0198-12
Jatenzotestosterone undecanoateTestosterone undecanoate 237 mg/1Capsule, Liquid filledOralTOLMAR Inc.69087-23769087-0237-1269087-0237-28

Other NDCs under NDA 206089

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

FDA NDC Directory listings under NDA 206089
ProductStrengthForm · routeLabelerProduct NDC
Jatenzotestosterone undecanoateTestosterone undecanoate 198 mg/1Capsule, Liquid filledOralTOLMAR Inc.69087-198
Jatenzotestosterone undecanoateTestosterone undecanoate 237 mg/1Capsule, Liquid filledOralTOLMAR Inc.69087-237

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