NDC codes

FDA NDC Directory
Product NDC (as listed)69539-240Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69539-0240Add 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
69539-240-1869539024018695390240181 KIT in 1 KIT (69539-240-18) * 14 CAPSULE, DELAYED RELEASE in 1 BOTTLE * 46 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from May 20, 2021

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
Dosage form
Kit
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 69539-240_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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N469539024018 followed by a unit qualifier and the quantity

Package 69539-0240-18. 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 69539-240

What is NDC 69539-240?
69539-240 is the product NDC for Dimethyl Fumarate kit, listed with the FDA by MSN LABORATORIES PRIVATE LIMITED. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
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 120 mg/1Capsule, Delayed releaseOralMSN LABORATORIES PRIVATE LIMITED69539-042
Dimethyl FumarateDimethyl fumarate 240 mg/1Capsule, Delayed releaseOralMSN LABORATORIES PRIVATE LIMITED69539-043

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