NDC codes

FDA NDC Directory
Product NDC (as listed)0121-0868Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00121-0868Add 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
0121-0868-000012108680010 TRAY in 1 CASE (0121-0868-00) / 10 CUP, UNIT-DOSE in 1 TRAY / 5 mL in 1 CUP, UNIT-DOSE (0121-0868-05)Marketed from Jul 17, 2020
0121-0868-020012108680260 mL in 1 BOTTLE, DROPPER (0121-0868-02)Marketed from Jul 17, 2020
0121-0868-1600121086816473 mL in 1 BOTTLE (0121-0868-16)Marketed from Jul 17, 2020
0121-0868-50001210868505 TRAY in 1 CASE (0121-0868-50) / 10 CUP, UNIT-DOSE in 1 TRAY / 5 mL in 1 CUP, UNIT-DOSE (0121-0868-05)Marketed from Jul 17, 2020

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)
Nystatin
Generic name (nonproprietary)
nystatin
Active ingredients
Nystatin — 100000 [USP'U]/mL
Dosage form
Suspension
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203621
Marketing start
Listing expires
Other FDA classes
Polyenes (Chemical structure)
Identifiers
Product ID 0121-0868_7d265612-edc5-42bc-8e58-bae7d7ab7918SPL ID 7d265612-edc5-42bc-8e58-bae7d7ab7918SPL set ID 28b4e26e-206a-4e8a-abfe-774b780e91c3RxCUI 312055UNII BDF1O1C72EUPC 0301210868160, 0301210868023
Pharmacologic class
Polyene Antifungal

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

N400121086800 followed by a unit qualifier and the quantity

Package 00121-0868-00. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 203621

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

FDA NDC Directory listings under ANDA 203621
ProductStrengthForm · routeLabelerProduct NDC
NystatinNystatin 100000 [USP'U]/mLSuspensionOralAmerican Health Packaging60687-800
NystatinNystatin 100000 [USP'U]/mLSuspensionOralA-S Medication Solutions50090-5315
NystatinNystatin 100000 [USP'U]/mLSuspensionOralCardinal Health 107, LLC55154-4314
NystatinNystatin 100000 [USP'U]/mLSuspensionOralMajor Pharmaceuticals0904-7276
NystatinNystatin 100000 [USP'U]/mLSuspensionOralPharmaceutical Associates, Inc.0121-0810
NystatinNystatin 100000 [USP'U]/mLSuspensionOralCardinal Health 107, LLC55154-5788
NystatinNystatin 100000 [USP'U]/mLSuspensionOralPharmaceutical Associates, Inc.0121-4810

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