NDC codes

FDA NDC Directory
Product NDC (as listed)0037-6860Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00037-6860Add 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
0037-6860-100003768601000037686010100 CAPSULE, GELATIN COATED in 1 BOTTLE, PLASTIC (0037-6860-10)Marketed from May 15, 2015

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)
Dipentum
Generic name (nonproprietary)
olsalazine sodium
Active ingredients
Olsalazine sodium — 250 mg/1
Dosage form
Capsule, Gelatin coated
Route
Oral
Labeler
Viatris Specialty LLCNDC labeler code 0037
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 019715
Marketing start
Listing expires
Other FDA classes
Aminosalicylic Acids (Chemical structure)
Identifiers
Product ID 0037-6860_6ef9e69e-bfc6-4136-a675-ac5519c98d30SPL ID 6ef9e69e-bfc6-4136-a675-ac5519c98d30SPL set ID 8512d0c6-db4e-4673-b3b4-28975c18413fRxCUI 905162, 905164UNII Y7JEW0XG7I
Pharmacologic class
Aminosalicylate

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

N400037686010 followed by a unit qualifier and the quantity

Package 00037-6860-10. 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)

DIPENTUM is indicated for the maintenance of remission of ulcerative colitis in adult patients who are intolerant of sulfasalazine. DIPENTUM is an aminosalicylate indicated for the maintenance of remission of ulcerative colitis in adult patients who are intolerant of sulfasalazine. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0037-6860

What is NDC 0037-6860?
0037-6860 is the product NDC for Dipentum (olsalazine sodium), Olsalazine sodium 250 mg/1 capsule, gelatin coated, listed with the FDA by Viatris Specialty LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dipentum (Olsalazine sodium).
What is the active ingredient?
Olsalazine sodium.
Who is the labeler?
Viatris Specialty LLC, NDC labeler code 0037. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Dipentum?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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