NDC codes

FDA NDC Directory
Product NDC (as listed)0006-3069Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00006-3069Add 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
0006-3069-010000630690130 TABLET, FILM COATED in 1 BOTTLE (0006-3069-01)Marketed from Jul 20, 2018

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)
Pifeltro
Generic name (nonproprietary)
doravirine
Active ingredients
Doravirine — 100 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Merck Sharp & Dohme LLCNDC labeler code 0006
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 210806
Marketing start
Listing expires
Other FDA classes
Non-Nucleoside Analog (EXT)Non-Nucleoside Reverse Transcriptase Inhibitors (Mechanism)
Identifiers
Product ID 0006-3069_213c6c93-b2a7-43c1-a380-c3799a9343b0SPL ID 213c6c93-b2a7-43c1-a380-c3799a9343b0SPL set ID 76ce1f00-28c0-4314-bd2c-d473fe3d0970RxCUI 2055760, 2055766UNII 913P6LK81MUPC 0300063069014
Pharmacologic class
Human Immunodeficiency Virus 1 Non-Nucleoside Analog Reverse Transcriptase 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

N400006306901 followed by a unit qualifier and the quantity

Package 00006-3069-01. 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)

PIFELTRO ® is indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in adults and pediatric patients weighing at least 35 kg: with no prior antiretroviral treatment history; OR to replace the current antiretroviral regimen in those who are virologically-suppressed (HIV-1 RNA less than 50 copies per mL) on a stable antiretroviral regimen with no history of treatment failure and no known substitutions associated with resistance to doravirine [see Clinical Studies (14) ] . PIFELTRO, a non-nucleoside reverse transcriptase inhibitor (NNRTI), is indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in adults and pedi…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0006-3069

What is NDC 0006-3069?
0006-3069 is the product NDC for Pifeltro (doravirine), Doravirine 100 mg/1 tablet, film coated, listed with the FDA by Merck Sharp & Dohme LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pifeltro (Doravirine).
What is the active ingredient?
Doravirine.
Who is the labeler?
Merck Sharp & Dohme LLC, NDC labeler code 0006. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pifeltro?
1 other product NDC are listed under this name. See all Pifeltro 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 Pifeltro NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
PifeltrodoravirineDoravirine 100 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-626850090-6268-00

Other NDCs under NDA 210806

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

FDA NDC Directory listings under NDA 210806
ProductStrengthForm · routeLabelerProduct NDC
PifeltrodoravirineDoravirine 100 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6268

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