NDC codes

FDA NDC Directory
Product NDC (as listed)75854-701Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75854-0701Add 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
75854-701-017585407010175854070101100 TABLET in 1 BOTTLE (75854-701-01)Marketed from Jul 13, 2022

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)
Dhivy
Generic name (nonproprietary)
carbidopa levodopa
Active ingredients
Carbidopa hydrate — 25 mg/1Levodopa — 100 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Avion Pharmaceuticals, LLCNDC labeler code 75854
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 214869
Marketing start
Listing expires
Other FDA classes
Aromatic (Chemical structure)
Identifiers
Product ID 75854-701_2fec5f7d-60f6-4be3-86b4-a5c3f38f29bfSPL ID 2fec5f7d-60f6-4be3-86b4-a5c3f38f29bfSPL set ID 39d79ade-8ee0-40ba-9fdd-13045b8ddbdfRxCUI 197444, 2586032UNII MNX7R8C5VO, 46627O600JUPC 0375854701015
Pharmacologic class
Aromatic Amino Acid

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

N475854070101 followed by a unit qualifier and the quantity

Package 75854-0701-01. 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 .

Indications (excerpt from the label)

DHIVY is indicated for the treatment of Parkinson’s disease, post-encephalitic parkinsonism, and symptomatic parkinsonism that may follow carbon monoxide intoxication or manganese intoxication. DHIVY is a combination of carbidopa (an aromatic amino acid decarboxylation inhibitor) and levodopa (an aromatic amino acid) indicated for the treatment of Parkinson’s disease, post-encephalitic parkinsonism, and symptomatic parkinsonism that may follow carbon monoxide intoxication or manganese intoxication ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 75854-701

What is NDC 75854-701?
75854-701 is the product NDC for Dhivy (carbidopa levodopa), Carbidopa hydrate 25 mg/1; Levodopa 100 mg/1 tablet, listed with the FDA by Avion Pharmaceuticals, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dhivy (Carbidopa Levodopa).
What is the active ingredient?
Carbidopa hydrate, Levodopa.
Who is the labeler?
Avion Pharmaceuticals, LLC, 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 Dhivy?
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.

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