NDC codes

FDA NDC Directory
Product NDC (as listed)70726-0304Labeler and product segments. Claims need a package NDC.
Product NDC at billing width70726-0304Add 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
70726-0304-170726030401300 mL in 1 BOTTLE, PLASTIC (70726-0304-1)Marketed from Jan 19, 2024

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Teglutik
Generic name (nonproprietary)
riluzole
Active ingredients
Riluzole5 mg/mL
Dosage form
Liquid
Route
Oral
Product type
Prescription drug
Marketing category
Unapproved drug for use in drug shortage
Marketing start
Listing expires
Other FDA classes
Benzothiazoles (Chemical structure)
Identifiers
Product ID 70726-0304_4746bd79-5116-423c-e063-6394a90a17e1SPL ID 4746bd79-5116-423c-e063-6394a90a17e1SPL set ID 0f2b5cfc-a23d-699a-e063-6394a90a67d1RxCUI 2058147, 2675565UNII 7LJ087RS6F
Pharmacologic class
Benzothiazole

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

N470726030401 followed by a unit qualifier and the quantity

Package 70726-0304-01. 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 .

Full label on DailyMed (opens in a new tab)

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