NDC codes

FDA NDC Directory
Product NDC (as listed)69339-170Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69339-0170Add 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
69339-170-036933901700330 TABLET in 1 BOTTLE (69339-170-03)Marketed from Jan 2, 2024
69339-170-096933901700990 TABLET in 1 BOTTLE (69339-170-09)Marketed from Jan 2, 2024
69339-170-93693390170932 BLISTER PACK in 1 CARTON (69339-170-93) / 30 TABLET in 1 BLISTER PACKMarketed from Jun 17, 2023

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)
Teriflunomide
Generic name (nonproprietary)
teriflunomide
Active ingredients
Teriflunomide14 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209555
Marketing start
Listing expires
Other FDA classes
Dihydroorotate Dehydrogenase Inhibitors (Mechanism)
Identifiers
Product ID 69339-170_70bc9344-abbf-4aca-96c0-7f10cfe9aae4SPL ID 70bc9344-abbf-4aca-96c0-7f10cfe9aae4SPL set ID 8219b4a2-fb9d-4387-ba33-96d28aad71ddRxCUI 1310525, 1310533UNII 1C058IKG3BUPC 0369339170090, 0369339169032, 0369339169094
Pharmacologic class
Pyrimidine Synthesis Inhibitor

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

N469339017003 followed by a unit qualifier and the quantity

Package 69339-0170-03. 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)

Teriflunomide tablets are indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. Teriflunomide tablets are a pyrimidine synthesis inhibitor indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209555

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

FDA NDC Directory listings under ANDA 209555
ProductStrengthForm · routeLabelerProduct NDC
TeriflunomideTeriflunomide 7 mg/1TabletOralNatco Pharma USA LLC69339-169

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