What is NDC 71205-642?

71205-642 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.

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.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Levothyroxine sodium NDC 71205-642

NDC codes

FDA NDC Directory

Product NDC (as listed)71205-642Labeler and product segments. Claims need a package NDC.

Product NDC at billing width71205-0642Add 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 NDC	11-digit (billing)	Package
71205-642-30	7120506423071205064230	30 TABLET in 1 BOTTLE (71205-642-30)Marketed from Mar 10, 2022
71205-642-60	7120506426071205064260	60 TABLET in 1 BOTTLE (71205-642-60)Marketed from Mar 10, 2022
71205-642-90	7120506429071205064290	90 TABLET in 1 BOTTLE (71205-642-90)Marketed from Mar 10, 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): 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: ANDA — Abbreviated New Drug Application (generic)Application ANDA 212399
Marketing start: Dec 10, 2020
Listing expires: Dec 31, 2027
Other FDA classes: Thyroxine (Chemical structure)
Identifiers: Product ID 71205-642_7a6abcab-a753-4c1d-92fb-c134ffc2c0a7SPL ID 7a6abcab-a753-4c1d-92fb-c134ffc2c0a7SPL set ID 9d1aaa2d-c8c0-478f-8540-f92f6512cfcbRxCUI 892246UNII 9J765S329GUPC 0371205642907
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

N471205064230 followed by a unit qualifier and the quantity

Package 71205-0642-30. 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 May 1, 2022. This label includes a boxed warning.

Indications (excerpt from the label)

Hypothyroidism Levothyroxine sodium tablets are indicated as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. Pituitary Thyrotropin (Thyroid ‑ Stimulating Hormone, TSH) Suppression Levothyroxine sodium tablets are indicated as an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. • Limitations of Use: • Levothyroxine sodium tablets are not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients as there are no clinical benefits and overtreatment with levothyroxine sodium may induce h…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71205-642

What is NDC 71205-642?: 71205-642 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
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Levothyroxine Sodium	Levothyroxine sodium .05 mg/1	TabletOral	Coupler LLC	67046-0819	67046-0819-03
Levothyroxine Sodium	Levothyroxine sodium .137 mg/1	TabletOral	Coupler LLC	67046-0972	67046-0972-03
Levothyroxine Sodium	Levothyroxine sodium .2 mg/1	TabletOral	Coupler LLC	67046-0387	67046-0387-03
Levothyroxine Sodium	Levothyroxine sodium .125 mg/1	TabletOral	Coupler LLC	67046-0951	67046-0951-03
Levothyroxine Sodium	Levothyroxine sodium 100 ug/1	TabletOral	Coupler LLC	67046-1679	67046-1679-03
Levothyroxine Sodium	Levothyroxine sodium .175 mg/1	TabletOral	Coupler LLC	67046-0517	67046-0517-03
Levothyroxine Sodium	Levothyroxine sodium .15 mg/1	TabletOral	Coupler LLC	67046-0515	67046-0515-03
Levothyroxine Sodium	Levothyroxine sodium .1 mg/1	TabletOral	Coupler LLC	67046-0569	67046-0569-03
Levothyroxine Sodium	Levothyroxine sodium .075 mg/1	TabletOral	Coupler LLC	67046-0801	67046-0801-03
Levothyroxine Sodium	Levothyroxine sodium .112 mg/1	TabletOral	Coupler LLC	67046-0290	67046-0290-03

All 518 Levothyroxine sodium NDCs

Other NDCs under ANDA 212399

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

FDA NDC Directory listings under ANDA 212399
Product	Strength	Form · route	Labeler	Product NDC
Levothyroxine sodium	Levothyroxine sodium 112 ug/1	TabletOral	Bryant Ranch Prepack	71335-2007
Levothyroxine sodium	Levothyroxine sodium 88 ug/1	TabletOral	Bryant Ranch Prepack	71335-1966
Levothyroxine sodium	Levothyroxine sodium 200 ug/1	TabletOral	ASCLEMED USA INC.	87063-093
Levothyroxine sodium	Levothyroxine sodium 100 ug/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-7929
Levothyroxine sodium	Levothyroxine sodium 300 ug/1	TabletOral	ASCLEMED USA INC.	87063-094
Levothyroxine sodium	Levothyroxine sodium 137 ug/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-7944
Levothyroxine sodium	Levothyroxine sodium 112 ug/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-7942
Levothyroxine sodium	Levothyroxine sodium 88 ug/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-7943
Levothyroxine sodium	Levothyroxine sodium 150 ug/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-7953
Levothyroxine sodium	Levothyroxine sodium 125 ug/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-7945
Levothyroxine sodium	Levothyroxine sodium 75 ug/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-7954
Levothyroxine sodium	Levothyroxine sodium 75 ug/1	TabletOral	Proficient Rx LP	82804-053
Levothyroxine sodium	Levothyroxine sodium 25 ug/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-7969
Levothyroxine sodium	Levothyroxine sodium 75 ug/1	TabletOral	Redpharm drug	67296-2046
Levothyroxine sodium	Levothyroxine sodium 100 ug/1	TabletOral	Redpharm drug	67296-2048
Levothyroxine sodium	Levothyroxine sodium 200 ug/1	TabletOral	NuCare Pharmaceuticals,Inc.	68071-3619
Levothyroxine Sodium	Levothyroxine sodium 88 ug/1	TabletOral	Direct_rx	72189-604
Levothyroxine sodium	Levothyroxine sodium 137 ug/1	TabletOral	A-S Medication Solutions	50090-6089
Levothyroxine Sodium	Levothyroxine sodium 200 ug/1	TabletOral	Direct Rx	72189-346
Levothyroxine sodium	Levothyroxine sodium 88 ug/1	TabletOral	A-S Medication Solutions	50090-6087

Showing 20 of 39.