NDC codes

FDA NDC Directory
Product NDC (as listed)70377-126Labeler and product segments. Claims need a package NDC.
Product NDC at billing width70377-0126Add 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
70377-126-1170377012611120 TABLET, DELAYED RELEASE in 1 BOTTLE (70377-126-11)Marketed from Sep 30, 2024

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 — 180 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 217031
Marketing start
Listing expires
Identifiers
Product ID 70377-126_98e5c815-0025-48c6-6ca1-76e2ae121258SPL ID 98e5c815-0025-48c6-6ca1-76e2ae121258SPL set ID 7f8d259a-9880-bb8b-2738-b3c6c1edf152RxCUI 485020, 485023UNII WX877SQI1G
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

N470377012611 followed by a unit qualifier and the quantity

Package 70377-0126-11. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

Mycophenolic acid is an antimetabolite immunosuppressant indicated for prophylaxis of organ rejection in adult patients receiving kidney transplants and in pediatric patients at least 5 years of age and older who are at least 6 months post kidney transplant. ( 1.1 ) Use in combination with cyclosporine and corticosteroids. ( 1.1 ) Limitations of Use: Mycophenolic acid delayed-release tablets and mycophenolate mofetil tablets and capsules should not be used interchangeably. ( 1.2 ) 1.1 Prophylaxis of Organ Rejection in Kidney Transplant Mycophenolic acid delayed-release tablets are indicated for the prophylaxis of organ rejection in adult patients receiving a kidney transplant. Mycophenolic a…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 217031

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

FDA NDC Directory listings under ANDA 217031
ProductStrengthForm · routeLabelerProduct NDC
Mycophenolic AcidMycophenolate sodium 360 mg/1Tablet, Delayed releaseOralBiocon Pharma Inc.70377-127

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