NDC codes

FDA NDC Directory
Product NDC (as listed)69539-042Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69539-0042Add 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
69539-042-0569539004205695390042051 BOTTLE in 1 CARTON (69539-042-05) / 500 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from Sep 28, 2020
69539-042-6169539004261695390042611 BOTTLE in 1 CARTON (69539-042-61) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from Sep 28, 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)
Dimethyl Fumarate
Generic name (nonproprietary)
dimethyl fumarate
Active ingredients
Dimethyl fumarate — 120 mg/1
Dosage form
Capsule, Delayed release
Route
Oral
Labeler
MSN LABORATORIES PRIVATE LIMITEDNDC labeler code 69539
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210460
Marketing start
Listing expires
Identifiers
Product ID 69539-042_1e7672d0-2532-401b-81a2-dd76968d2745SPL ID 1e7672d0-2532-401b-81a2-dd76968d2745SPL set ID 074d2820-6cb4-437a-8f6f-a21cb0a8ee02RxCUI 1373483, 1373491, 1373497UNII FO2303MNI2UPC 0369539042555, 0369539043460, 0369539042050, 0369539043057, 0369539042616, 0369539043606, 0369539240180

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

N469539004205 followed by a unit qualifier and the quantity

Package 69539-0042-05. 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)

Dimethyl fumarate delayed-release capsules 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. Dimethyl fumarate is 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)

About NDC 69539-042

What is NDC 69539-042?
69539-042 is the product NDC for Dimethyl Fumarate, Dimethyl fumarate 120 mg/1 capsule, delayed release, listed with the FDA by MSN LABORATORIES PRIVATE LIMITED. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dimethyl Fumarate.
What is the active ingredient?
Dimethyl fumarate.
Who is the labeler?
MSN LABORATORIES PRIVATE LIMITED, NDC labeler code 69539. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Dimethyl Fumarate?
45 other product NDCs are listed under this name. See all Dimethyl Fumarate 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 Dimethyl Fumarate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dimethyl Fumarate—KitMacleods Pharmaceuticals Limited33342-57933342-0579-96
Dimethyl fumarateDimethyl fumarate 120 mg/1Capsule, Delayed releaseOralCivicaScript LLC82249-74582249-0745-14
Dimethyl fumarateDimethyl fumarate 240 mg/1Capsule, Delayed releaseOralCivicaScript LLC82249-74782249-0747-60
Dimethyl FumarateDimethyl fumarate 120 mg/1Capsule, Delayed releaseOralMacleods Pharmaceuticals Limited33342-34933342-0349-0933342-0349-9433342-0349-97
Dimethyl FumarateDimethyl fumarate 240 mg/1Capsule, Delayed releaseOralMacleods Pharmaceuticals Limited33342-35033342-0350-0933342-0350-95
Dimethyl Fumarate—KitMacleods Pharmaceuticals Limited33342-35133342-0351-93
Dimethyl FumarateDimethyl fumarate 240 mg/1Capsule, Delayed releaseOralQuallent Pharmaceuticals Health LLC82009-13882009-0138-60
Dimethyl FumarateDimethyl fumarate 120 mg/1Capsule, Delayed releaseOralSOLA Pharmaceuticals, LLC70512-85270512-0852-14
Dimethyl FumarateDimethyl fumarate 240 mg/1Capsule, Delayed releaseOralSOLA Pharmaceuticals, LLC70512-85370512-0853-60
Dimethyl FumarateDimethyl fumarate 120 mg/1Capsule, Delayed releaseOralAurobindo Pharma Limited59651-08359651-0083-14

All 46 Dimethyl Fumarate NDCs

Other NDCs under ANDA 210460

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

FDA NDC Directory listings under ANDA 210460
ProductStrengthForm · routeLabelerProduct NDC
Dimethyl FumarateDimethyl fumarate 120 mg/1Capsule, Delayed releaseOralDr. Reddy's Laboratories Inc.43598-429
Dimethyl FumarateDimethyl fumarate 240 mg/1Capsule, Delayed releaseOralDr. Reddy's Laboratories Inc.43598-430
Dimethyl FumarateDimethyl fumarate 240 mg/1Capsule, Delayed releaseOralMSN LABORATORIES PRIVATE LIMITED69539-043
Dimethyl Fumarate—KitMSN LABORATORIES PRIVATE LIMITED69539-240

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