NDC codes

FDA NDC Directory
Product NDC (as listed)0009-0287Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00009-0287Add 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
0009-0287-0100009028701100 TABLET in 1 BOTTLE (0009-0287-01)Marketed from Nov 11, 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)
Provera
Generic name (nonproprietary)
medroxyprogesterone acetate
Active ingredients
Medroxyprogesterone acetate — 5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 011839
Marketing start
Listing expires
Other FDA classes
Progesterone Congeners (Chemical structure)
Identifiers
Product ID 0009-0287_ebcdf2fb-760c-4a9a-80a1-a0c6b21a891aSPL ID ebcdf2fb-760c-4a9a-80a1-a0c6b21a891aSPL set ID a586be28-96af-4fed-a13f-9b94fd4c7405RxCUI 1000114, 1000124, 1000135, 1000139, 1000141, 1000145UNII C2QI4IOI2G
Pharmacologic class
Progestin

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

N400009028701 followed by a unit qualifier and the quantity

Package 00009-0287-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE PROVERA tablets are indicated for the treatment of secondary amenorrhea and abnormal uterine bleeding due to hormonal imbalance in the absence of organic pathology, such as fibroids or uterine cancer. They are also indicated for use in the prevention of endometrial hyperplasia in nonhysterectomized postmenopausal women who are receiving daily oral conjugated estrogens 0.625 mg tablets.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 011839

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

FDA NDC Directory listings under NDA 011839
ProductStrengthForm · routeLabelerProduct NDC
Proveramedroxyprogesterone acetateMedroxyprogesterone acetate 10 mg/1TabletOralPharmacia & Upjohn Company LLC0009-0051
medroxyprogesterone acetateMedroxyprogesterone acetate 2.5 mg/1TabletOralMylan Pharmaceuticals Inc.59762-0055
medroxyprogesterone acetateMedroxyprogesterone acetate 10 mg/1TabletOralMylan Pharmaceuticals Inc.59762-0056
medroxyprogesterone acetateMedroxyprogesterone acetate 5 mg/1TabletOralMylan Pharmaceuticals Inc.59762-0058
Proveramedroxyprogesterone acetateMedroxyprogesterone acetate 2.5 mg/1TabletOralPharmacia & Upjohn Company LLC0009-0065

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