NDC codes

FDA NDC Directory
Product NDC (as listed)82804-096Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82804-0096Add 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
82804-096-2882804009628828040096281 BLISTER PACK in 1 BAG (82804-096-28) / 1 KIT in 1 BLISTER PACKMarketed from Apr 5, 2024

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)
Microgestin Fe 1.5/30
Generic name (nonproprietary)
norethindrone acetate/ethinyl estradiol and ferrous fumarate
Dosage form
Kit
Labeler
Proficient Rx LPNDC labeler code 82804
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091453
Marketing start
Listing expires
Identifiers
Product ID 82804-096_03053e47-c9ac-42bd-b4cd-3e911564676aSPL ID 03053e47-c9ac-42bd-b4cd-3e911564676aSPL set ID 03053e47-c9ac-42bd-b4cd-3e911564676aRxCUI 259176, 1359022, 1359023, 1359027UPC 0382804096282

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

N482804009628 followed by a unit qualifier and the quantity

Package 82804-0096-28. 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)

INDICATIONS AND USAGE Microgestin Fe 1.5/30 is indicated for the prevention of pregnancy in women who elect to use oral contraceptives as a method of contraception. Oral contraceptives are highly effective. Table I lists the typical accidental pregnancy rates for users of combination oral contraceptives and other methods of contraception. The efficacy of these contraceptive methods, except sterilization, depends upon the reliability with which they are used. Correct and consistent use of methods can result in lower failure rates. 2

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 82804-096

What is NDC 82804-096?
82804-096 is the product NDC for Microgestin Fe 1.5/30 kit, listed with the FDA by Proficient Rx LP. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Microgestin Fe 1.5/30 (Norethindrone Acetate/Ethinyl Estradiol and Ferrous Fumarate).
Who is the labeler?
Proficient Rx LP, NDC labeler code 82804. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Microgestin Fe 1.5/30?
2 other product NDCs are listed under this name. See all Microgestin Fe 1.5/30 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 Microgestin Fe 1.5/30 NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Microgestin Fe 1.5/30norethindrone acetate/ethinyl estradiol and ferrous fumarate—KitDr. Reddys Laboratories Inc75907-08175907-0081-2875907-0081-62
Microgestin Fe 1.5/30norethindrone acetate/ethinyl estradiol and ferrous fumarate—KitMayne Pharma Inc.51862-87051862-0870-0151862-0870-0251862-0870-03+1 more

Other NDCs under ANDA 091453

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

FDA NDC Directory listings under ANDA 091453
ProductStrengthForm · routeLabelerProduct NDC
Larin Fe 1.5/30norethindrone acetate/ethinyl estradiol and ferrous fumarate—KitNorthstar Rx LLC16714-405
Microgestin Fe 1.5/30norethindrone acetate/ethinyl estradiol and ferrous fumarate—KitMayne Pharma Inc.51862-870
Microgestin Fe 1.5/30norethindrone acetate/ethinyl estradiol and ferrous fumarate—KitDr. Reddys Laboratories Inc75907-081

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