NDC codes

FDA NDC Directory
Product NDC (as listed)87063-204Labeler and product segments. Claims need a package NDC.
Product NDC at billing width87063-0204Add 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
87063-204-01870630204011 TABLET in 1 BOTTLE (87063-204-01)Marketed from May 13, 2026
87063-204-07870630204077 TABLET in 1 BOTTLE (87063-204-07)Marketed from May 13, 2026
87063-204-108706302041010 TABLET in 1 BOTTLE (87063-204-10)Marketed from May 13, 2026
87063-204-148706302041414 TABLET in 1 BOTTLE (87063-204-14)Marketed from May 13, 2026
87063-204-208706302042020 TABLET in 1 BOTTLE (87063-204-20)Marketed from May 13, 2026
87063-204-308706302043030 TABLET in 1 BOTTLE (87063-204-30)Marketed from May 13, 2026
87063-204-608706302046060 TABLET in 1 BOTTLE (87063-204-60)Marketed from May 13, 2026
87063-204-908706302049090 TABLET in 1 BOTTLE (87063-204-90)Marketed from May 13, 2026

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)
Fluconazole
Generic name (nonproprietary)
fluconazole
Active ingredients
Fluconazole — 100 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077731
Marketing start
Listing expires
Other FDA classes
Azoles (Chemical structure)Cytochrome P450 2C19 Inhibitors (Mechanism)Cytochrome P450 2C9 Inhibitors (Mechanism)Cytochrome P450 3A4 Inhibitors (Mechanism)
Identifiers
Product ID 87063-204_52428ad6-384c-5071-e063-6294a90ac345SPL ID 52428ad6-384c-5071-e063-6294a90ac345SPL set ID 2099c3a0-1911-4d4a-878a-36cf054bdd0bRxCUI 197698, 197699, 197700, 197701UNII 8VZV102JFY
Pharmacologic class
Azole Antifungal

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

N487063020401 followed by a unit qualifier and the quantity

Package 87063-0204-01. 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)

INDICATIONS AND USAGE Fluconazole tablets are indicated for the treatment of: Vaginal candidiasis (vaginal yeast infections due to Candida ). Oropharyngeal and esophageal candidiasis. In open noncomparative studies of relatively small numbers of patients, fluconazole tablets were also effective for the treatment of Candida urinary tract infections, peritonitis, and systemic Candida infections including candidemia, disseminated candidiasis, and pneumonia. Cryptococcal meningitis . Before prescribing fluconazole tablets for AIDS patients with cryptococcal meningitis , please see CLINICAL STUDIES section. Studies comparing fluconazole tablets to amphotericin B in non-HIV infected patients have …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 077731

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

FDA NDC Directory listings under ANDA 077731
ProductStrengthForm · routeLabelerProduct NDC
FluconazoleFluconazole 200 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8526
FluconazoleFluconazole 150 mg/1TabletOralNorthStar Rx LLC16714-692
FluconazoleFluconazole 100 mg/1TabletOralNorthStar Rx LLC16714-691
FluconazoleFluconazole 200 mg/1TabletOralNorthStar Rx LLC16714-693
FluconazoleFluconazole 50 mg/1TabletOralNorthStar Rx LLC16714-694
FluconazoleFluconazole 100 mg/1TabletOralREMEDYREPACK INC.70518-4242
FluconazoleFluconazole 50 mg/1TabletOralREMEDYREPACK INC.70518-4723
FluconazoleFluconazole 200 mg/1TabletOralProficient Rx LP82804-146
FluconazoleFluconazole 200 mg/1TabletOralA-S Medication Solutions50090-6751
FluconazoleFluconazole 150 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-7293
FluconazoleFluconazole 150 mg/1TabletOralPharmasource Meds, LLC82982-070
FluconazoleFluconazole 100 mg/1TabletOralRising Pharma Holdings, Inc.57237-004
FluconazoleFluconazole 50 mg/1TabletOralRising Pharma Holdings, Inc.57237-003
FluconazoleFluconazole 150 mg/1TabletOralRising Pharma Holdings, Inc.57237-005
FluconazoleFluconazole 200 mg/1TabletOralRising Pharma Holdings, Inc.57237-006
FluconazoleFluconazole 100 mg/1TabletOralAmerican Health Packaging68084-728
FluconazoleFluconazole 200 mg/1TabletOralAmerican Health Packaging68084-735
FluconazoleFluconazole 150 mg/1TabletOralA-S Medication Solutions50090-6842
FluconazoleFluconazole 150 mg/1TabletOralA-S Medication Solutions50090-2195
FluconazoleFluconazole 200 mg/1TabletOralDirect_Rx72189-516

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