Calcitriol NDC 72789-058

NDC codes

FDA NDC Directory

Product NDC (as listed)72789-058Labeler and product segments. Claims need a package NDC.

Product NDC at billing width72789-0058Add 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	Copy
72789-058-01	72789005801	100 CAPSULE in 1 BOTTLE, PLASTIC (72789-058-01)Marketed from Feb 26, 2020
72789-058-30	72789005830	30 CAPSULE in 1 BOTTLE, PLASTIC (72789-058-30)Marketed from Jul 14, 2023

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): Calcitriol
Generic name (nonproprietary): calcitriol
Active ingredients: Calcitriol — .25 ug/1
Dosage form: Capsule
Route: Oral
Labeler: PD-Rx Pharmaceuticals, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 076917
Marketing start: Mar 27, 2006
Listing expires: Dec 31, 2027
Other FDA classes: Cholecalciferol (Chemical structure)
Identifiers: Product ID 72789-058_5b739d24-5f7b-b971-e063-6294a90a031fSPL ID 5b739d24-5f7b-b971-e063-6294a90a031f
Pharmacologic class: Vitamin D3 Analog

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

N472789005801 followed by a unit qualifier and the quantity

Package 72789-0058-01. 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

The FDA listing for this product does not reference a label (SPL) set.

Other NDCs under ANDA 076917

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

FDA NDC Directory listings under ANDA 076917
Product	Strength	Form · route	Labeler	Product NDC
Calcitriol	Calcitriol .25 ug/1	CapsuleOral	Hikma Pharmaceuticals USA Inc.	0054-0007
Calcitriol	Calcitriol .25 ug/1	CapsuleOral	Aphena Pharma Solutions - Tennessee, LLC	71610-521