NDC codes

FDA NDC Directory
Product NDC (as listed)71205-351Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71205-0351Add 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
71205-351-30712050351307120503513030 TABLET in 1 BOTTLE (71205-351-30)Marketed from Dec 29, 2020
71205-351-60712050351607120503516060 TABLET in 1 BOTTLE (71205-351-60)Marketed from Dec 29, 2020
71205-351-90712050351907120503519090 TABLET in 1 BOTTLE (71205-351-90)Marketed from Dec 29, 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)
levothyroxine sodium
Generic name (nonproprietary)
levothyroxine sodium
Active ingredients
Levothyroxine sodium — 100 ug/1
Dosage form
Tablet
Route
Oral
Labeler
Proficient Rx LPNDC labeler code 71205
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021116
Marketing start
Listing expires
Other FDA classes
Thyroxine (Chemical structure)
Identifiers
Product ID 71205-351_12ccf2fd-ccf0-4bcf-8eee-e2a16c8b44d6SPL ID 12ccf2fd-ccf0-4bcf-8eee-e2a16c8b44d6SPL set ID 12ccf2fd-ccf0-4bcf-8eee-e2a16c8b44d6RxCUI 892246UNII 9J765S329G
Pharmacologic class
l-Thyroxine

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

N471205035130 followed by a unit qualifier and the quantity

Package 71205-0351-30. 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)

Levothyroxine Sodium Tablets are L-thyroxine (T4) indicated for: • Hypothyroidism: As replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. ( 1 ) • Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression: As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. ( 1 ) Limitations of Use: - Not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients. - Not indicated for treatment of hypothyroidism during the recovery phase of subacute thyroiditis. Hypothyroidism Levothyroxine Sod…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71205-351

What is NDC 71205-351?
71205-351 is the product NDC for levothyroxine sodium, Levothyroxine sodium 100 ug/1 tablet, listed with the FDA by Proficient Rx LP. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
levothyroxine sodium.
What is the active ingredient?
Levothyroxine sodium.
Who is the labeler?
Proficient Rx LP, NDC labeler code 71205. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for levothyroxine sodium?
517 other product NDCs are listed under this name. See all levothyroxine sodium NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other levothyroxine sodium NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Levothyroxine SodiumLevothyroxine sodium .05 mg/1TabletOralCoupler LLC67046-081967046-0819-03
Levothyroxine SodiumLevothyroxine sodium .137 mg/1TabletOralCoupler LLC67046-097267046-0972-03
Levothyroxine SodiumLevothyroxine sodium .2 mg/1TabletOralCoupler LLC67046-038767046-0387-03
Levothyroxine SodiumLevothyroxine sodium .125 mg/1TabletOralCoupler LLC67046-095167046-0951-03
Levothyroxine SodiumLevothyroxine sodium 100 ug/1TabletOralCoupler LLC67046-167967046-1679-03
Levothyroxine SodiumLevothyroxine sodium .175 mg/1TabletOralCoupler LLC67046-051767046-0517-03
Levothyroxine SodiumLevothyroxine sodium .15 mg/1TabletOralCoupler LLC67046-051567046-0515-03
Levothyroxine SodiumLevothyroxine sodium .1 mg/1TabletOralCoupler LLC67046-056967046-0569-03
Levothyroxine SodiumLevothyroxine sodium .075 mg/1TabletOralCoupler LLC67046-080167046-0801-03
Levothyroxine SodiumLevothyroxine sodium .112 mg/1TabletOralCoupler LLC67046-029067046-0290-03

All 518 levothyroxine sodium NDCs

Other NDCs under NDA 021116

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

FDA NDC Directory listings under NDA 021116
ProductStrengthForm · routeLabelerProduct NDC
levothyroxine sodiumLevothyroxine sodium 25 ug/1TabletOralAlvogen, Inc.47781-640
levothyroxine sodiumLevothyroxine sodium 50 ug/1TabletOralAlvogen, Inc.47781-643
levothyroxine sodiumLevothyroxine sodium 75 ug/1TabletOralAlvogen, Inc.47781-646
levothyroxine sodiumLevothyroxine sodium 88 ug/1TabletOralAlvogen, Inc.47781-649
levothyroxine sodiumLevothyroxine sodium 100 ug/1TabletOralAlvogen, Inc.47781-651
levothyroxine sodiumLevothyroxine sodium 112 ug/1TabletOralAlvogen, Inc.47781-654
levothyroxine sodiumLevothyroxine sodium 125 ug/1TabletOralAlvogen, Inc.47781-657
levothyroxine sodiumLevothyroxine sodium 137 ug/1TabletOralAlvogen, Inc.47781-659
levothyroxine sodiumLevothyroxine sodium 150 ug/1TabletOralAlvogen, Inc.47781-662
levothyroxine sodiumLevothyroxine sodium 175 ug/1TabletOralAlvogen, Inc.47781-665
levothyroxine sodiumLevothyroxine sodium 200 ug/1TabletOralAlvogen, Inc.47781-668
levothyroxine sodiumLevothyroxine sodium 300 ug/1TabletOralAlvogen, Inc.47781-671
levothyroxine sodiumLevothyroxine sodium 112 ug/1TabletOralAlvogen, Inc.47781-721
levothyroxine sodiumLevothyroxine sodium 175 ug/1TabletOralAlvogen, Inc.47781-728
levothyroxine sodiumLevothyroxine sodium 125 ug/1TabletOralA-S Medication Solutions50090-4799
levothyroxine sodiumLevothyroxine sodium 125 ug/1TabletOralA-S Medication Solutions50090-7862
levothyroxine sodiumLevothyroxine sodium 175 ug/1TabletOralNorthwind Health Company, LLC51655-714
levothyroxine sodiumLevothyroxine sodium 50 ug/1TabletOralNorthwind Health Company, LLC51655-723
levothyroxine sodiumLevothyroxine sodium 150 ug/1TabletOralNorthwind Health Company, LLC51655-727
levothyroxine sodiumLevothyroxine sodium 25 ug/1TabletOralBryant Ranch Prepack63629-8711

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