NDC codes

FDA NDC Directory
Product NDC (as listed)72189-218Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72189-0218Add 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
72189-218-907218902189090 TABLET in 1 BOTTLE (72189-218-90)Marketed from May 11, 2021

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)
Np Thyroid
Generic name (nonproprietary)
levothyroxine, liothyronine
Active ingredients
Liothyronine4.5 ug/1Levothyroxine19 ug/1
Dosage form
Tablet
Route
Oral
Labeler
DIRECT RX
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Thyroxine (Chemical structure)Triiodothyronine (Chemical structure)
Identifiers
Product ID 72189-218_2c283f9f-1db7-4a4c-e063-6394a90a7953SPL ID 2c283f9f-1db7-4a4c-e063-6394a90a7953SPL set ID c20f4ab2-8dbd-b83f-e053-2995a90a52dbRxCUI 313387, 313391, 1724439, 1724481UNII 06LU7C9H1V, Q51BO43MG4
Pharmacologic class
l-Thyroxine; l-Triiodothyronine

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

N472189021890 followed by a unit qualifier and the quantity

Package 72189-0218-90. 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

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