NDC codes

FDA NDC Directory
Product NDC (as listed)69452-346Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69452-0346Add 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
69452-346-72694520346721 BLISTER PACK in 1 CARTON (69452-346-72) / 9 TABLET, FILM COATED in 1 BLISTER PACK (69452-346-60)Marketed from Feb 18, 2022

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)
Sumatriptan
Generic name (nonproprietary)
sumatriptan
Active ingredients
Sumatriptan succinate — 100 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078284
Marketing start
Listing expires
Other FDA classes
Serotonin 1b Receptor Agonists (Mechanism)Serotonin 1d Receptor Agonists (Mechanism)
Identifiers
Product ID 69452-346_4f61a0dc-b9b8-44a3-8fbf-f995a0c3931dSPL ID 4f61a0dc-b9b8-44a3-8fbf-f995a0c3931dSPL set ID e90b0eea-c424-4f00-98da-6ed6e80de1f6RxCUI 313160, 313161, 315223UNII J8BDZ68989
Pharmacologic class
Serotonin-1b and Serotonin-1d Receptor Agonist

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

N469452034672 followed by a unit qualifier and the quantity

Package 69452-0346-72. 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 .

Indications (excerpt from the label)

Sumatriptan tablets are indicated for the acute treatment of migraine with or without aura in adults. Limitations of Use: Use only if a clear diagnosis of migraine headache has been established. If a patient has no response to the first migraine attack treated with sumatriptan, reconsider the diagnosis of migraine before sumatriptan is administered to treat any subsequent attacks. Sumatriptan is not indicated for the prevention of migraine attacks. Safety and effectiveness of sumatriptan tablets have not been established for cluster headache. Sumatriptan is a serotonin (5-HT1B/1D) receptor agonist (triptan) indicated for acute treatment of migraine with or without aura in adults. Limitations…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 078284

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

FDA NDC Directory listings under ANDA 078284
ProductStrengthForm · routeLabelerProduct NDC
Sumatriptan SuccinateSumatriptan succinate 25 mg/1Tablet, Film coatedOralDirect_Rx72189-596
SumatriptanSumatriptan succinate 25 mg/1Tablet, Film coatedOralBionpharma Inc.69452-344
SumatriptanSumatriptan succinate 50 mg/1Tablet, Film coatedOralBionpharma Inc.69452-345
SumatriptanSumatriptan succinate 100 mg/1Tablet, Film coatedOralDirect_Rx72189-404
SumatriptanSumatriptan succinate 50 mg/1Tablet, Film coatedOralAdvanced Rx of Tennessee, LLC80425-0475
SumatriptanSumatriptan succinate 50 mg/1Tablet, Film coatedOralProficient Rx LP82804-169
SumatriptanSumatriptan succinate 100 mg/1Tablet, Film coatedOralPreferred Pharmaceuticals Inc.68788-8535
SumatriptanSumatriptan succinate 100 mg/1Tablet, Film coatedOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0258
SumatriptanSumatriptan succinate 25 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-7436
SumatriptanSumatriptan succinate 50 mg/1Tablet, Film coatedOralPreferred Pharmaceuticals Inc.68788-8619
SumatriptanSumatriptan succinate 50 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-3525

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