NDC codes

FDA NDC Directory
Product NDC (as listed)0069-0197Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00069-0197Add 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
0069-0197-300006901973030 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0069-0197-30)Marketed from Oct 4, 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)
Vizimpro
Generic name (nonproprietary)
dacomitinib
Active ingredients
Dacomitinib — 15 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Pfizer Laboratories Div Pfizer IncNDC labeler code 0069
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 211288
Marketing start
Marketing end
Identifiers
Product ID 0069-0197_3ffd0da1-5601-4ecc-a8fb-f484693cb4c5SPL ID 3ffd0da1-5601-4ecc-a8fb-f484693cb4c5SPL set ID 4ab27d2f-e385-4e9c-b324-fa69c10b855aRxCUI 2058915, 2058922, 2058924, 2058926, 2058930, 2058932UNII 5092U85G58UPC 0300691198308, 0300692299301, 0300690197302

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

N400069019730 followed by a unit qualifier and the quantity

Package 00069-0197-30. 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)

VIZIMPRO is indicated for the first-line treatment of patients with metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 19 deletion or exon 21 L858R substitution mutations as detected by an FDA-approved test [see Dosage and Administration (2.1) ] . VIZIMPRO is a kinase inhibitor indicated for the first-line treatment of patients with metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 19 deletion or exon 21 L858R substitution mutations as detected by an FDA-approved test. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0069-0197

What is NDC 0069-0197?
0069-0197 is the product NDC for Vizimpro (dacomitinib), Dacomitinib 15 mg/1 tablet, film coated, listed with the FDA by Pfizer Laboratories Div Pfizer Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Vizimpro (Dacomitinib).
What is the active ingredient?
Dacomitinib.
Who is the labeler?
Pfizer Laboratories Div Pfizer Inc, NDC labeler code 0069. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Vizimpro?
2 other product NDCs are listed under this name. See all Vizimpro 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 Vizimpro NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
VizimprodacomitinibDacomitinib 30 mg/1Tablet, Film coatedOralPfizer Laboratories Div Pfizer Inc0069-119800069-1198-30
VizimprodacomitinibDacomitinib 45 mg/1Tablet, Film coatedOralPfizer Laboratories Div Pfizer Inc0069-229900069-2299-30

Other NDCs under NDA 211288

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

FDA NDC Directory listings under NDA 211288
ProductStrengthForm · routeLabelerProduct NDC
VizimprodacomitinibDacomitinib 30 mg/1Tablet, Film coatedOralPfizer Laboratories Div Pfizer Inc0069-1198
VizimprodacomitinibDacomitinib 45 mg/1Tablet, Film coatedOralPfizer Laboratories Div Pfizer Inc0069-2299

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