NDC codes

FDA NDC Directory
Product NDC (as listed)72189-223Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72189-0223Add 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
72189-223-307218902233030 TABLET, CHEWABLE in 1 BOTTLE (72189-223-30)Marketed from May 21, 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)
Montelukast Sodium
Generic name (nonproprietary)
montelukast sodium
Active ingredients
Montelukast — 5 mg/1
Dosage form
Tablet, Chewable
Route
Oral
Labeler
DIRECT RX
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204093
Marketing start
Listing expires
Other FDA classes
Leukotriene Receptor Antagonists (Mechanism)
Identifiers
Product ID 72189-223_2c283d75-2454-ee48-e063-6294a90a7651SPL ID 2c283d75-2454-ee48-e063-6294a90a7651SPL set ID c2d834e6-7b38-d266-e053-2995a90a27efRxCUI 242438UNII MHM278SD3E
Pharmacologic class
Leukotriene Receptor Antagonist

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

N472189022330 followed by a unit qualifier and the quantity

Package 72189-0223-30. 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)

1.1 Asthma Montelukast sodium chewable tablets are indicated for the prophylaxis and chronic treatment of asthma in adults and pediatric patients 2 years of age and older. 1.2 Exercise-Induced Bronchoconstriction (EIB) Montelukast sodium chewable tablets are indicated for prevention of exercise-induced bronchoconstriction (EIB) in patients 6 years of age and older. 1.3 Allergic Rhinitis Montelukast sodium chewable tablets are indicated for the relief of symptoms of seasonal allergic rhinitis in patients 2 years of age and older and perennial allergic rhinitis in patients 2 years of age and older. Because the benefits of montelukast sodium chewable tablets may not outweigh the risk of neurops…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 204093

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

FDA NDC Directory listings under ANDA 204093
ProductStrengthForm · routeLabelerProduct NDC
montelukast sodiumMontelukast 5 mg/1Tablet, ChewableOralCamber Pharmaceuticals, Inc.31722-728
montelukast sodiumMontelukast 4 mg/1Tablet, ChewableOralCamber Pharmaceuticals, Inc.31722-727
montelukast sodiumMontelukast 4 mg/1Tablet, ChewableOralA-S Medication Solutions50090-2921
montelukast sodiumMontelukast 4 mg/1Tablet, ChewableOralA-S Medication Solutions50090-7920
montelukast sodiumMontelukast 5 mg/1Tablet, ChewableOralA-S Medication Solutions50090-7925
montelukast sodiumMontelukast 5 mg/1Tablet, ChewableOralA-S Medication Solutions50090-4705
montelukast sodiumMontelukast 5 mg/1Tablet, ChewableOralPreferred Pharmaceuticals, Inc.68788-7669
montelukast sodiumMontelukast sodium 4 mg/1Tablet, ChewableOralBryant Ranch Prepack71335-1602

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