NDC codes

FDA NDC Directory
Product NDC (as listed)76204-026Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76204-0026Add 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
76204-026-01762040026017620400260130 POUCH in 1 CARTON (76204-026-01) / 1 AMPULE in 1 POUCH / 2 mL in 1 AMPULEMarketed from Feb 27, 2023
76204-026-02762040026027620400260260 POUCH in 1 CARTON (76204-026-02) / 1 AMPULE in 1 POUCH / 2 mL in 1 AMPULEMarketed from Feb 27, 2023
76204-026-55762040026557620400265512 POUCH in 1 CARTON (76204-026-55) / 5 AMPULE in 1 POUCH / 2 mL in 1 AMPULEMarketed from Feb 27, 2023

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

Generic name (nonproprietary)
arformoterol tartrate inhalation solution
Active ingredients
Arformoterol tartrate — 15 ug/2mL
Dosage form
Solution
Route
Respiratory (Inhalation)
Labeler
Ritedose Pharmaceuticals, LLCNDC labeler code 76204
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214736
Marketing start
Listing expires
Other FDA classes
Adrenergic beta2-Agonists (Mechanism)
Identifiers
Product ID 76204-026_459f97a4-5026-29d1-e063-6294a90a1a9aSPL ID 459f97a4-5026-29d1-e063-6294a90a1a9aSPL set ID ef524b4c-68d7-c464-e053-2a95a90a7f96RxCUI 668956UNII 5P8VJ2I235UPC 0376204026024, 0376204026017
Pharmacologic class
beta2-Adrenergic Agonist

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

N476204002601 followed by a unit qualifier and the quantity

Package 76204-0026-01. 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)

1. INDICATIONS AND USAGE Arformoterol Tartrate Inhalation Solution is a long-acting beta 2 -adrenergic agonist (beta 2 -agonist) indicated for: Long-term, twice daily (morning and evening) administration in the maintenance treatment of bronchoconstriction in patients with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. (1.1) Important limitations of use: Arformoterol Tartrate Inhalation Solution is not inidcated to treat acute deteriorations of chronic obstructive pulmonary disease. (1.2, 5.2) Arformoterol Tartrate Inhalation Solution is not indicated to treat asthma. (1.2) 1.1 Maintenance Treatment of COPD Arformoterol Tartrate Inhalation Solution i…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 76204-026

What is NDC 76204-026?
76204-026 is the product NDC for Arformoterol Tartrate Inhalation Solution, Arformoterol tartrate 15 ug/2mL solution, listed with the FDA by Ritedose Pharmaceuticals, LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Arformoterol Tartrate Inhalation Solution.
What is the active ingredient?
Arformoterol tartrate.
Who is the labeler?
Ritedose Pharmaceuticals, LLC, NDC labeler code 76204. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Arformoterol Tartrate Inhalation Solution?
1 other product NDC are listed under this name. See all Arformoterol Tartrate Inhalation Solution NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Arformoterol Tartrate Inhalation Solution NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Arformoterol Tartrate Inhalation Solutionarformoterol tartrateArformoterol tartrate 15 ug/2mLSolutionRespiratory (Inhalation)Aucta Pharmaceuticals, Inc.73289-007273289-0072-0373289-0072-04

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