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 NDC11-digit (billing)PackageCopy
72789-058-017278900580172789005801100 CAPSULE in 1 BOTTLE, PLASTIC (72789-058-01)Marketed from Feb 26, 2020
72789-058-30727890058307278900583030 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.NDC labeler code 72789
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076917
Marketing start
Listing expires
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.

About NDC 72789-058

What is NDC 72789-058?
72789-058 is the product NDC for Calcitriol, Calcitriol .25 ug/1 capsule, listed with the FDA by PD-Rx Pharmaceuticals, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Calcitriol.
What is the active ingredient?
Calcitriol.
Who is the labeler?
PD-Rx Pharmaceuticals, Inc., NDC labeler code 72789. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Calcitriol?
39 other product NDCs are listed under this name. See all Calcitriol 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 Calcitriol NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
CalcitriolCalcitriol 1 ug/mLSolutionOralANI Pharmaceuticals, Inc.70954-83170954-0831-10
CalcitriolCalcitriol .25 ug/1CapsuleOralEPIC PHARMA LLC42806-73242806-0732-01
CalcitriolCalcitriol .5 ug/1CapsuleOralEPIC PHARMA LLC42806-73342806-0733-01
CalcitriolCalcitriol .25 ug/1Capsule, Liquid filledOralBryant Ranch Prepack72162-103172162-1031-01
CalcitriolCalcitriol 1 ug/mLSolutionOralPatrin Pharma, Inc39328-04239328-0042-15
CalcitriolCalcitriol 1 ug/mLInjectionIntravenousFOSUN PHARMA USA INC72266-25172266-0251-10
CalcitriolCalcitriol .25 ug/1Capsule, Liquid filledOralSun Pharmaceutical Industries, Inc.62756-96762756-0967-1862756-0967-8362756-0967-88
CalcitriolCalcitriol .5 ug/1Capsule, Liquid filledOralSun Pharmaceutical Industries, Inc.62756-96862756-0968-1862756-0968-8362756-0968-88
CalcitriolCalcitriol 1 ug/mLInjectionIntravenousGland Pharma Limited68083-31668083-0316-10
Calcitriolcalcitriol capsules 0.25 mcgCalcitriol .25 ug/1CapsuleOralCardinal Health 107, LLC55154-818655154-8186-00

All 40 Calcitriol NDCs

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
ProductStrengthForm · routeLabelerProduct NDC
CalcitriolCalcitriol .25 ug/1CapsuleOralHikma Pharmaceuticals USA Inc.0054-0007
CalcitriolCalcitriol .25 ug/1CapsuleOralAphena Pharma Solutions - Tennessee, LLC71610-521

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