NDC codes

FDA NDC Directory
Product NDC (as listed)0003-0894Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00003-0894Add 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
0003-0894-210000308942160 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0003-0894-21)Marketed from Dec 28, 2012
0003-0894-310000308943110 BLISTER PACK in 1 CARTON (0003-0894-31) / 10 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Dec 28, 2012
0003-0894-700000308947074 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0003-0894-70)Marketed from Jun 1, 2017
0003-0894-91000030894911 BLISTER PACK in 1 CARTON (0003-0894-91) / 14 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Dec 28, 2012 · Sample package

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Eliquis
Generic name (nonproprietary)
apixaban
Active ingredients
Apixaban — 5 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 202155
Marketing start
Listing expires
Other FDA classes
Factor Xa Inhibitors (Mechanism)
Identifiers
Product ID 0003-0894_663be5ea-b58d-43c9-8138-2d9ed0846308SPL ID 663be5ea-b58d-43c9-8138-2d9ed0846308
Pharmacologic class
Factor Xa Inhibitor

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

N400003089421 followed by a unit qualifier and the quantity

Package 00003-0894-21. 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

The FDA listing for this product does not reference a label (SPL) set.

Other NDCs under NDA 202155

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

FDA NDC Directory listings under NDA 202155
ProductStrengthForm · routeLabelerProduct NDC
ELIQUIS 30-Day Starter Packapixaban—KitE.R. Squibb & Sons, L.L.C.0003-3765
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-4462
EliquisapixabanApixaban 2.5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6451
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6454
EliquisapixabanApixaban .5 mg/1Tablet, For suspensionOralE.R. Squibb & Sons, L.L.C.0003-1028
EliquisapixabanApixaban 2.5 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-0612
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-0613
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-662
ELIQUIS 30-Day Starter Packapixaban—KitE.R. Squibb & Sons, L.L.C.0003-3764
EliquisapixabanApixaban 2.5 mg/1Tablet, Film coatedOralAphena Pharma Solutions - Tennessee, LLC71610-811
EliquisapixabanApixaban 2.5 mg/1Tablet, Film coatedOralE.R. Squibb & Sons, L.L.C.0003-0893
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-1437
EliquisapixabanApixaban 2.5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-1436
EliquisapixabanApixaban 5 mg/1Tablet, Film coatedOralProficient Rx LP82804-085

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