NDC codes

FDA NDC Directory
Product NDC (as listed)69880-120Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69880-0120Add 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
69880-120-28698800120284 BLISTER PACK in 1 DOSE PACK (69880-120-28) / 7 CAPSULE, DELAYED RELEASE in 1 BLISTER PACKMarketed from Jul 6, 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)
Mycapssa
Generic name (nonproprietary)
octreotide
Active ingredients
Octreotide — 20 mg/1
Dosage form
Capsule, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 208232
Marketing start
Listing expires
Other FDA classes
Somatostatin Receptor Agonists (Mechanism)
Identifiers
Product ID 69880-120_1f0f9540-123a-49d7-b1d2-0c150dd5f26aSPL ID 1f0f9540-123a-49d7-b1d2-0c150dd5f26aSPL set ID 62a5e1eb-b48e-4ea6-8781-f75e490b17e4RxCUI 2380611, 2380617UNII RWM8CCW8GP
Pharmacologic class
Somatostatin Analog

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

N469880012028 followed by a unit qualifier and the quantity

Package 69880-0120-28. 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)

MYCAPSSA is indicated for long-term maintenance treatment in acromegaly patients who have responded to and tolerated treatment with octreotide or lanreotide. MYCAPSSA is a somatostatin analog indicated for long-term maintenance treatment in acromegaly patients who have responded to and tolerated treatment with octreotide or lanreotide (‎ 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 208232

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

FDA NDC Directory listings under NDA 208232
ProductStrengthForm · routeLabelerProduct NDC
MycapssaoctreotideOctreotide 20 mg/1Capsule, Delayed releaseOralChiesi USA, Inc.10122-550

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