NDC codes

FDA NDC Directory
Product NDC (as listed)72205-204Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72205-0204Add 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
72205-204-3472205020434722050204346 BLISTER PACK in 1 CARTON (72205-204-34) / 10 CAPSULE in 1 BLISTER PACKMarketed from Oct 1, 2024
72205-204-60722050204607220502046060 CAPSULE in 1 BOTTLE (72205-204-60)Marketed from May 24, 2024

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)
Dabigatran
Generic name (nonproprietary)
dabigatran etexilate
Active ingredients
Dabigatran etexilate mesylate — 150 mg/1
Dosage form
Capsule
Route
Oral
Labeler
Novadoz Pharmaceuticals LLCNDC labeler code 72205
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 213879
Marketing start
Listing expires
Other FDA classes
Thrombin Inhibitors (Mechanism)
Identifiers
Product ID 72205-204_50fb8204-a087-4f97-ab57-85773b8c0065SPL ID 50fb8204-a087-4f97-ab57-85773b8c0065SPL set ID 6f79088b-b353-485a-9df4-6f5088f5bd0fRxCUI 1037045, 1037179, 1723476UNII SC7NUW5IITUPC 0372205203600, 0372205204607
Pharmacologic class
Direct Thrombin Inhibitor

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

N472205020434 followed by a unit qualifier and the quantity

Package 72205-0204-34. 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)

Dabigatran etexilate capsules are a direct thrombin inhibitor indicated: To reduce the risk of stroke and systemic embolism in adult patients with non-valvular atrial fibrillation ( 1.1 ) For the treatment of deep venous thrombosis (DVT) and pulmonary embolism (PE) in adult patients who have been treated with a parenteral anticoagulant for 5-10 days ( 1.2 ) To reduce the risk of recurrence of DVT and PE in adult patients who have been previously treated ( 1.3 ) For the prophylaxis of DVT and PE in adult patients who have undergone hip replacement surgery ( 1.4 ) 1.1 Reduction of Risk of Stroke and Systemic Embolism in Non-valvular Atrial Fibrillation in Adult Patients Dabigatran etexilate ca…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72205-204

What is NDC 72205-204?
72205-204 is the product NDC for Dabigatran (dabigatran etexilate), Dabigatran etexilate mesylate 150 mg/1 capsule, listed with the FDA by Novadoz Pharmaceuticals LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dabigatran (Dabigatran etexilate).
What is the active ingredient?
Dabigatran etexilate mesylate.
Who is the labeler?
Novadoz Pharmaceuticals LLC, NDC labeler code 72205. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Dabigatran?
9 other product NDCs are listed under this name. See all Dabigatran 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 Dabigatran NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 75 mg/1CapsuleOralAmerican Health Packaging60687-96360687-0963-21
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 150 mg/1CapsuleOralAmerican Health Packaging60687-97460687-0974-32
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 150 mg/1CapsuleOralAvPAK50268-20050268-0200-16
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 75 mg/1CapsuleOralAvKARE42291-03342291-0033-60
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 150 mg/1CapsuleOralAvKARE42291-03442291-0034-60
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 110 mg/1CapsuleOralNovadoz Pharmaceuticals LLC72205-20372205-0203-3472205-0203-60
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 150 mg/1CapsuleOralA-S Medication Solutions50090-753050090-7530-00
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 75 mg/1CapsuleOralA-S Medication Solutions50090-753150090-7531-00
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 75 mg/1CapsuleOralNovadoz Pharmaceuticals LLC72205-20272205-0202-3472205-0202-60

Other NDCs under ANDA 213879

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

FDA NDC Directory listings under ANDA 213879
ProductStrengthForm · routeLabelerProduct NDC
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 75 mg/1CapsuleOralAvKARE42291-033
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 150 mg/1CapsuleOralAvKARE42291-034
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 150 mg/1CapsuleOralA-S Medication Solutions50090-7530
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 75 mg/1CapsuleOralA-S Medication Solutions50090-7531
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 150 mg/1CapsuleOralAvPAK50268-200
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 75 mg/1CapsuleOralAmerican Health Packaging60687-963
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 150 mg/1CapsuleOralAmerican Health Packaging60687-974
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 75 mg/1CapsuleOralNovadoz Pharmaceuticals LLC72205-202
Dabigatrandabigatran etexilateDabigatran etexilate mesylate 110 mg/1CapsuleOralNovadoz Pharmaceuticals LLC72205-203

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