NDC codes

FDA NDC Directory
Product NDC (as listed)70771-1104Labeler and product segments. Claims need a package NDC.
Product NDC at billing width70771-1104Add 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
70771-1104-0707711104001000 TABLET in 1 BOTTLE (70771-1104-0)Marketed from Apr 2, 2018
70771-1104-170771110401100 TABLET in 1 BOTTLE (70771-1104-1)Marketed from Apr 2, 2018
70771-1104-47077111040410 BLISTER PACK in 1 CARTON (70771-1104-4) / 10 TABLET in 1 BLISTER PACK (70771-1104-2)Marketed from Apr 2, 2018
70771-1104-570771110405500 TABLET in 1 BOTTLE (70771-1104-5)Marketed from Apr 2, 2018
70771-1104-77077111040750 TABLET in 1 BOTTLE (70771-1104-7)Marketed from Apr 2, 2018

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)
Doxycycline hyclate
Generic name (nonproprietary)
doxycycline hyclate
Active ingredients
Doxycycline hyclate — 100 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207773
Marketing start
Listing expires
Other FDA classes
Tetracyclines (Chemical structure)
Identifiers
Product ID 70771-1104_6a571164-83bf-4150-a6b7-9d059793a933SPL ID 6a571164-83bf-4150-a6b7-9d059793a933SPL set ID 68b3aba5-f1e4-4cdf-b244-0302aa8595feRxCUI 1650143UNII 19XTS3T51U
Pharmacologic class
Tetracycline-class Drug

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

N470771110400 followed by a unit qualifier and the quantity

Package 70771-1104-00. 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 .

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 207773

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

FDA NDC Directory listings under ANDA 207773
ProductStrengthForm · routeLabelerProduct NDC
Doxycycline HyclateDoxycycline hyclate 100 mg/1TabletOralBryant Ranch Prepack71335-2113
Doxycycline HyclateDoxycycline hyclate 100 mg/1TabletOralRedPharm Drug, Inc.67296-1431
Doxycycline HyclateDoxycycline hyclate 100 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8529
Doxycycline HyclateDoxycycline hyclate 100 mg/1TabletOralViona Pharmaceuticals Inc72578-001

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