NDC codes

FDA NDC Directory
Product NDC (as listed)0310-6210Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00310-6210Add 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
0310-6210-300031062103030 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0310-6210-30)Marketed from Jan 5, 2015
0310-6210-39003106210393 BLISTER PACK in 1 CARTON (0310-6210-39) / 10 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Dec 2, 2022
0310-6210-900031062109090 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0310-6210-90)Marketed from Mar 18, 2024
0310-6210-95003106210951 BLISTER PACK in 1 CARTON (0310-6210-95) / 7 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Jan 5, 2015 · Sample package

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)
Farxiga
Generic name (nonproprietary)
dapagliflozin
Active ingredients
Dapagliflozin propanediol — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 202293
Marketing start
Listing expires
Other FDA classes
Sodium-Glucose Transporter 2 Inhibitors (Mechanism)
Identifiers
Product ID 0310-6210_6ae68943-041a-4236-8f49-fb8f0edc38cfSPL ID 6ae68943-041a-4236-8f49-fb8f0edc38cfSPL set ID 72ad22ae-efe6-4cd6-a302-98aaee423d69RxCUI 1486977, 1486981, 1488569, 1488574UNII 887K2391VH

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

N400310621030 followed by a unit qualifier and the quantity

Package 00310-6210-30. 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)

FARXIGA (dapagliflozin) is indicated: • To reduce the risk of sustained eGFR decline, end-stage kidney disease, cardiovascular (CV) death, and hospitalization for heart failure in adults with chronic kidney disease at risk of progression. • To reduce the risk of CV death, hospitalization for heart failure, and urgent heart failure visit in adults with heart failure. • To reduce the risk of hospitalization for heart failure in adults with type 2 diabetes mellitus and either established CV disease or multiple CV risk factors. • As an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients aged 10 years and older with type 2 diabetes mellitus. Limitations of Us…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 202293

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

FDA NDC Directory listings under NDA 202293
ProductStrengthForm · routeLabelerProduct NDC
DapagliflozinDapagliflozin propanediol 10 mg/1Tablet, Film coatedOralBryant Ranch Prepack63629-3253
DapagliflozinDapagliflozin propanediol 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-7057
DapagliflozinDapagliflozin propanediol 5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-7056
FarxigadapagliflozinDapagliflozin propanediol 5 mg/1Tablet, Film coatedOralAstraZeneca Pharmaceuticals LP0310-6205
FarxigadapagliflozinDapagliflozin propanediol 10 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-3481
FarxigadapagliflozinDapagliflozin propanediol 5 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-3482
FarxigadapagliflozinDapagliflozin propanediol 5 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-4614
DapagliflozinDapagliflozin propanediol 5 mg/1Tablet, Film coatedOralPrasco Laboratories66993-456
DapagliflozinDapagliflozin propanediol 10 mg/1Tablet, Film coatedOralPrasco Laboratories66993-457

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