NDC codes

FDA NDC Directory
Product NDC (as listed)72789-434Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72789-0434Add 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
72789-434-79727890434791 BLISTER PACK in 1 POUCH (72789-434-79) / 1 KIT in 1 BLISTER PACKMarketed from Oct 2, 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)
Norgestimate and Ethinyl Estradiol
Generic name (nonproprietary)
norgestimate and ethinyl estradiol
Dosage form
Kit
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075804
Marketing start
Listing expires
Identifiers
Product ID 72789-434_3247501e-2fd5-720c-e063-6294a90a77d4SPL ID 3247501e-2fd5-720c-e063-6294a90a77d4SPL set ID 00dd9b78-dd90-414b-b241-7619aa9d1ed2RxCUI 240128, 748797, 749860UPC 0372789434797

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N472789043479 followed by a unit qualifier and the quantity

Package 72789-0434-79. 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)

Sprintec ® is a combination of norgestimate, a progestin, and ethinyl estradiol, an estrogen, indicated for use by females of reproductive potential to prevent pregnancy. ( 1.1 ) 1.1 Oral Contraceptive Sprintec ® (norgestimate and ethinyl estradiol tablets) is indicated for use by females of reproductive potential to prevent pregnancy [see Clinical Studies ( 14 )].

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 075804

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

FDA NDC Directory listings under ANDA 075804
ProductStrengthForm · routeLabelerProduct NDC
Sprintecnorgestimate and ethinyl estradiolKitTeva Pharmaceuticals USA, Inc.0555-9016
Sprintecnorgestimate and ethinyl estradiolKitPreferred Pharmaceuticals, Inc.68788-7429
Sprintecnorgestimate and ethinyl estradiolKitProficient Rx LP63187-911

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