NDC codes

FDA NDC Directory
Product NDC (as listed)75834-264Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75834-0264Add 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
75834-264-607583402646060 TABLET, DELAYED RELEASE in 1 BOTTLE (75834-264-60)Marketed from Jul 15, 2021
75834-264-907583402649090 TABLET, DELAYED RELEASE in 1 BOTTLE (75834-264-90)Marketed from Jul 15, 2021

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)
Diclofenac Sodium Misoprostol
Generic name (nonproprietary)
diclofenac sodium and misoprostol
Active ingredients
Diclofenac sodium — 50 mg/1Misoprostol — 200 ug/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 205143
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Decreased Prostaglandin Production (Physiologic effect)Synthetic (Chemical structure)
Identifiers
Product ID 75834-264_542fd9dd-a6d3-4432-9e7a-2ca5bce12956SPL ID 542fd9dd-a6d3-4432-9e7a-2ca5bce12956SPL set ID 2acf46ac-8ba8-444d-b421-19d5ad49644cRxCUI 857706, 1359105UNII 0E43V0BB57, QTG126297QUPC 0375834264608, 0375834265605
Pharmacologic class
Nonsteroidal Anti-inflammatory Drug; Prostaglandin E1 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

N475834026460 followed by a unit qualifier and the quantity

Package 75834-0264-60. 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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