Bosulif (bosutinib) NDC 0069-0193

NDC codes

FDA NDC Directory

Product NDC (as listed)0069-0193Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00069-0193Add 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 NDC	11-digit (billing)	Package	Copy
0069-0193-01	00069019301	30 TABLET, FILM COATED in 1 BOTTLE (0069-0193-01)Marketed from Dec 18, 2017

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): Bosulif
Generic name (nonproprietary): bosutinib
Active ingredients: Bosutinib monohydrate — 400 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Pfizer Laboratories Div Pfizer Inc
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 203341
Marketing start: Dec 18, 2017
Listing expires: Dec 31, 2027
Other FDA classes: Bcr-Abl Tyrosine Kinase Inhibitors (Mechanism)
Identifiers: Product ID 0069-0193_ca8600d9-46e6-402d-89f9-bc6a156bf751SPL ID ca8600d9-46e6-402d-89f9-bc6a156bf751SPL set ID adc84ad5-a04d-4fee-9ba8-91f7abd928e3RxCUI 1307624, 1307630, 1307633, 1307635, 1987732, 1987734, 2669663, 2669665, 2672326, 2672328UNII 844ZJE6I55UPC 0300691014158, 0300690504308, 0300690193014, 0300690136011, 0300690135014
Pharmacologic class: Kinase 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

N400069019301 followed by a unit qualifier and the quantity

Package 00069-0193-01. 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

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