Prescription drug · NDA
Balcoltra (Levonorgestrel and ethinyl estradiol) NDC 75854-602
Kit · Avion Pharmaceuticals
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 75854-602-02 | 7585406020275854060202 | 2 BLISTER PACK in 1 CARTON (75854-602-02) / 1 KIT in 1 BLISTER PACKMarketed from Apr 10, 2018 | |
| 75854-602-03 | 7585406020375854060203 | 3 BLISTER PACK in 1 CARTON (75854-602-03) / 1 KIT in 1 BLISTER PACKMarketed from Apr 10, 2018 | |
| 75854-602-28 | 7585406022875854060228 | 1 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
N475854060202followed by a unit qualifier and the quantityPackage 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.
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.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| levonorgestrel and ethinyl estradiol | — | Kit | Acella Pharmaceuticals | 42192-623 |