NDC codes

FDA NDC Directory
Product NDC (as listed)69842-062Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0062Add 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
69842-062-00698420062001 TUBE, WITH APPLICATOR in 1 CARTON (69842-062-00) / 21 g in 1 TUBE, WITH APPLICATORMarketed from Aug 6, 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)
CVS Pharmacy Clotrimazole 3Suffix: Clotrimazole 3
Generic name (nonproprietary)
clotrimazole
Active ingredients
Clotrimazole — 2 g/100g
Dosage form
Cream
Route
Vaginal
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021143
Marketing start
Listing expires
Other FDA classes
Azoles (Chemical structure)
Identifiers
Product ID 69842-062_3a265223-a262-e01c-e063-6294a90a0904SPL ID 3a265223-a262-e01c-e063-6294a90a0904SPL set ID 37000f9c-a1a4-4e5a-80c8-c9a1b2490a71RxCUI 199603UNII G07GZ97H65UPC 0050428386897
Pharmacologic class
Azole Antifungal

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

N469842006200 followed by a unit qualifier and the quantity

Package 69842-0062-00. 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)

Uses treats vaginal yeast infections relieves external itching and irritation due to a vaginal yeast infection

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021143

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

FDA NDC Directory listings under NDA 021143
ProductStrengthForm · routeLabelerProduct NDC
ClotrimazoleClotrimazole 2 g/100gCreamVaginalFoster and Thrive (Mckesson /STRATEGIC SOURCING SERVICES LLC)70677-1231
Good Neighbor Pharmacy Clotrimazole 3clotrimazoleClotrimazole 2 g/100gCreamVaginalAmerisourceBergen24385-110
ClotrimazoleClotrimazole 2 g/100gCreamVaginalSun Pharmaceutical Industries, Inc.51672-2062
sunmark Clotrimazole 3clotrimazoleClotrimazole 2 g/100gCreamVaginalStrategic Sourcing Services LLC49348-379
Walgreens Clotrimazole 3clotrimazoleClotrimazole 2 g/100gCreamVaginalWalgreen Company0363-2062

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