NDC codes

FDA NDC Directory
Product NDC (as listed)0310-0095Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00310-0095Add 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
0310-0095-300031000953030 TABLET in 1 BOTTLE, PLASTIC (0310-0095-30)Marketed from Jul 1, 2015
0310-0095-900031000959090 TABLET in 1 BOTTLE, PLASTIC (0310-0095-90)Marketed from Jul 1, 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)
Daliresp
Generic name (nonproprietary)
roflumilast
Active ingredients
Roflumilast — 500 ug/1
Dosage form
Tablet
Route
Oral
Labeler
AstraZeneca Pharmaceuticals LPNDC labeler code 0310
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022522
Marketing start
Listing expires
Other FDA classes
Phosphodiesterase 4 Inhibitors (Mechanism)
Identifiers
Product ID 0310-0095_11cd495f-c5cf-4076-b69c-af202ec2a8a1SPL ID 11cd495f-c5cf-4076-b69c-af202ec2a8a1SPL set ID c9a1d0a8-581f-4f91-a2b8-f419192d0ebfRxCUI 1091839, 1091843, 2001319, 2001321UNII 0P6C6ZOP5U
Pharmacologic class
Phosphodiesterase 4 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

N400310009530 followed by a unit qualifier and the quantity

Package 00310-0095-30. 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)

DALIRESP ® is indicated as a treatment to reduce the risk of COPD exacerbations in patients with severe COPD associated with chronic bronchitis and a history of exacerbations. DALIRESP is a selective phosphodiesterase 4 inhibitor indicated as a treatment to reduce the risk of COPD exacerbations in patients with severe COPD associated with chronic bronchitis and a history of exacerbations. ( 1 , 14 ) Limitations of Use : • DALIRESP is not a bronchodilator and is not indicated for the relief of acute bronchospasm. ( 1, 14 ) • DALIRESP 250 mcg is a starting dose, for the first 4 weeks of treatment only and is not the effective (therapeutic) dose. ( 2, 14 ) Limitations of Use DALIRESP is not a b…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0310-0095

What is NDC 0310-0095?
0310-0095 is the product NDC for Daliresp (roflumilast), Roflumilast 500 ug/1 tablet, listed with the FDA by AstraZeneca Pharmaceuticals LP. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Daliresp (Roflumilast).
What is the active ingredient?
Roflumilast.
Who is the labeler?
AstraZeneca Pharmaceuticals LP, NDC labeler code 0310. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Daliresp?
1 other product NDC are listed under this name. See all Daliresp 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 Daliresp NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
DaliresproflumilastRoflumilast 250 ug/1TabletOralAstraZeneca Pharmaceuticals LP0310-008800310-0088-2800310-0088-39

Other NDCs under NDA 022522

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

FDA NDC Directory listings under NDA 022522
ProductStrengthForm · routeLabelerProduct NDC
DaliresproflumilastRoflumilast 250 ug/1TabletOralAstraZeneca Pharmaceuticals LP0310-0088

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