Rivelsa NDC 0093-6031

NDC codes

FDA NDC Directory

Product NDC (as listed)0093-6031Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00093-6031Add 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
0093-6031-82	00093603182	2 POUCH in 1 CARTON (0093-6031-82) / 1 KIT in 1 POUCH (0093-6031-91)Marketed from Apr 3, 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): Rivelsa
Generic name (nonproprietary): levonorgestrel/ethinyl estradiol and ethinyl estradiol
Dosage form: Kit
Labeler: Teva Pharmaceuticals USA, Inc.
Product type: Prescription drug
Marketing category: NDA authorized genericApplication NDA 204061
Marketing start: Apr 3, 2017
Listing expires: Dec 31, 2027
Identifiers: Product ID 0093-6031_c0a84adf-aa60-4da1-be5a-6e7f9cc03df2SPL ID c0a84adf-aa60-4da1-be5a-6e7f9cc03df2

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

N400093603182 followed by a unit qualifier and the quantity

Package 00093-6031-82. 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

The FDA listing for this product does not reference a label (SPL) set.