NDC codes

FDA NDC Directory
Product NDC (as listed)0093-2140Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00093-2140Add 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
0093-2140-62000932140623 POUCH in 1 CARTON (0093-2140-62) / 1 BLISTER PACK in 1 POUCH (0093-2140-28) / 1 KIT in 1 BLISTER PACKMarketed from Dec 30, 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)
Tri-Lo-Sprintec
Generic name (nonproprietary)
norgestimate and ethinyl estradiol
Dosage form
Kit
Labeler
Teva Pharmaceuticals USA, Inc.NDC labeler code 0093
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076784
Marketing start
Listing expires
Identifiers
Product ID 0093-2140_204ad27b-376e-4d07-bf27-1db57f446045SPL ID 204ad27b-376e-4d07-bf27-1db57f446045SPL set ID ddbeb312-af2b-4d22-ab7c-5ab2f3f8d5cbRxCUI 578732, 748797, 749155, 749156, 749157, 856467

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N400093214062 followed by a unit qualifier and the quantity

Package 00093-2140-62. 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)

Tri-Lo-Sprintec ® (norgestimate and ethinyl estradiol tablets) is an estrogen/progestin COC, indicated for use by women to prevent pregnancy. ( 1.1 ) 1.1 Oral Contraception Tri-Lo-Sprintec ® (norgestimate and ethinyl estradiol tablets) is indicated for use by females of reproductive potential to prevent pregnancy [see Clinical Studies (14)] .

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0093-2140

What is NDC 0093-2140?
0093-2140 is the product NDC for Tri-Lo-Sprintec kit, listed with the FDA by Teva Pharmaceuticals USA, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Tri-Lo-Sprintec (Norgestimate and Ethinyl Estradiol).
Who is the labeler?
Teva Pharmaceuticals USA, Inc., NDC labeler code 0093. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Tri-Lo-Sprintec?
1 other product NDC are listed under this name. See all Tri-Lo-Sprintec 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 Tri-Lo-Sprintec NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Tri-Lo-Sprintecnorgestimate and ethinyl estradiol—KitProficient Rx LP71205-28771205-0287-28

Other NDCs under ANDA 076784

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

FDA NDC Directory listings under ANDA 076784
ProductStrengthForm · routeLabelerProduct NDC
Tri-Lo-Sprintecnorgestimate and ethinyl estradiol—KitProficient Rx LP71205-287

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