NDC codes

FDA NDC Directory
Product NDC (as listed)70377-040Labeler and product segments. Claims need a package NDC.
Product NDC at billing width70377-0040Add 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
70377-040-1170377004011120 TABLET, DELAYED RELEASE in 1 BOTTLE (70377-040-11)Marketed from May 30, 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)
Mycophenolic Acid
Generic name (nonproprietary)
mycophenolic acid
Active ingredients
Mycophenolate sodium — 360 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214630
Marketing start
Listing expires
Identifiers
Product ID 70377-040_dd78e397-2a86-a739-d8f3-f01f37985a14SPL ID dd78e397-2a86-a739-d8f3-f01f37985a14SPL set ID 8516e135-5cc0-ef2d-6dad-0f9f841bb27bRxCUI 485020, 485023UNII WX877SQI1GUPC 0370377040115
Pharmacologic class
Antimetabolite Immunosuppressant

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

N470377004011 followed by a unit qualifier and the quantity

Package 70377-0040-11. 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

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