Azathioprine NDC 72789-129

NDC codes

FDA NDC Directory

Product NDC (as listed)72789-129Labeler and product segments. Claims need a package NDC.

Product NDC at billing width72789-0129Add 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
72789-129-30	72789012930	30 TABLET in 1 BOTTLE, PLASTIC (72789-129-30)Marketed from Oct 8, 2020

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): Azathioprine
Generic name (nonproprietary): azathioprine
Active ingredients: Azathioprine — 50 mg/1
Dosage form: Tablet
Route: Oral
Labeler: PD-Rx Pharmaceuticals, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 074069
Marketing start: Feb 2, 2015
Listing expires: Dec 31, 2027
Other FDA classes: Nucleic Acid Synthesis Inhibitors (Mechanism)Nucleosides (Chemical structure)Purines (Chemical structure)
Identifiers: Product ID 72789-129_4af728c5-ee86-3a41-e063-6394a90adfedSPL ID 4af728c5-ee86-3a41-e063-6394a90adfedSPL set ID d288e484-32fc-4b46-b504-d75a0fac8663RxCUI 197388UNII MRK240IY2LUPC 0372789129303
Pharmacologic class: Purine Antimetabolite

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

N472789012930 followed by a unit qualifier and the quantity

Package 72789-0129-30. 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

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