NDC codes

FDA NDC Directory
Product NDC (as listed)0054-4550Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00054-4550Add 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
0054-4550-2500054455025100 TABLET in 1 BOTTLE, PLASTIC (0054-4550-25)Marketed from Aug 1, 1994

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)
Methotrexate Sodium
Generic name (nonproprietary)
methotrexate sodium
Active ingredients
Methotrexate sodium — 2.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040054
Marketing start
Listing expires
Other FDA classes
Folic Acid Metabolism Inhibitors (Mechanism)
Identifiers
Product ID 0054-4550_09f7cdcb-241e-4916-a68c-b4c452d3d640SPL ID 09f7cdcb-241e-4916-a68c-b4c452d3d640SPL set ID d71b1856-99d8-4a9e-9189-f87b6675f80aRxCUI 105585UNII 3IG1E710ZNUPC 0300544550253
Pharmacologic class
Folate Analog Metabolic 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

N400054455025 followed by a unit qualifier and the quantity

Package 00054-4550-25. 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

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