NDC codes

FDA NDC Directory
Product NDC (as listed)75854-602Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75854-0602Add 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
75854-602-0275854060202758540602022 BLISTER PACK in 1 CARTON (75854-602-02) / 1 KIT in 1 BLISTER PACKMarketed from Apr 10, 2018
75854-602-0375854060203758540602033 BLISTER PACK in 1 CARTON (75854-602-03) / 1 KIT in 1 BLISTER PACKMarketed from Apr 10, 2018
75854-602-2875854060228758540602281 BLISTER PACK in 1 CARTON (75854-602-28) / 1 KIT in 1 BLISTER PACKMarketed from Apr 10, 2018

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)
Balcoltra
Generic name (nonproprietary)
levonorgestrel and ethinyl estradiol
Dosage form
Kit
Labeler
Avion PharmaceuticalsNDC labeler code 75854
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 208612
Marketing start
Listing expires
Identifiers
Product ID 75854-602_57bb625e-d567-432d-a6c2-44b329de9b7bSPL ID 57bb625e-d567-432d-a6c2-44b329de9b7bSPL set ID 752ab698-4b48-4614-8016-d1d33ee7c007RxCUI 242297, 1999026, 2672922, 2672923

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

N475854060202 followed by a unit qualifier and the quantity

Package 75854-0602-02. 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)

Balcoltra is indicated for use by females of reproductive potential to prevent pregnancy. Balcoltra is a progestin/estrogen COC indicated for use by females of reproductive potential to prevent pregnancy. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 75854-602

What is NDC 75854-602?
75854-602 is the product NDC for Balcoltra kit, listed with the FDA by Avion Pharmaceuticals. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Balcoltra (Levonorgestrel and ethinyl estradiol).
Who is the labeler?
Avion Pharmaceuticals, NDC labeler code 75854. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Balcoltra?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under NDA 208612

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

FDA NDC Directory listings under NDA 208612
ProductStrengthForm · routeLabelerProduct NDC
levonorgestrel and ethinyl estradiol—KitAcella Pharmaceuticals42192-623

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