NDC codes

FDA NDC Directory
Product NDC (as listed)0469-0687Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00469-0687Add 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
0469-0687-73004690687731 BOTTLE in 1 CARTON (0469-0687-73) / 30 CAPSULE, COATED, EXTENDED RELEASE in 1 BOTTLEMarketed from Jul 19, 2013

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)
Astagraf XL
Generic name (nonproprietary)
tacrolimus extended-release capsules
Active ingredients
Tacrolimus — 5 mg/1
Dosage form
Capsule, Coated, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 204096
Marketing start
Listing expires
Other FDA classes
Calcineurin Inhibitors (Mechanism)
Identifiers
Product ID 0469-0687_4ecfe626-bf9c-4889-a1d4-64b03d60eaf8SPL ID 4ecfe626-bf9c-4889-a1d4-64b03d60eaf8SPL set ID 550a5cd4-fbf2-4c09-b577-6bde8fcbdf6eRxCUI 1431971, 1431977, 1431980, 1431982, 1431985, 1431987UNII WM0HAQ4WNM
Pharmacologic class
Calcineurin Inhibitor Immunosuppressant

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

N400469068773 followed by a unit qualifier and the quantity

Package 00469-0687-73. 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)

ASTAGRAF XL ® is indicated for the prophylaxis of organ rejection in kidney transplant patients in combination with other immunosuppressants in adult and pediatric patients who can swallow capsules intact [see Use in Specific Populations ( 8.4 ) and Clinical Studies ( 14.1 ), ( 14.2 )]. ASTAGRAF XL is a calcineurin-inhibitor immunosuppressant indicated for the prophylaxis of organ rejection in kidney transplant patients in combination with other immunosuppressants in adult and pediatric patients who can swallow capsules intact. ( 1 , 8.4 , 14.1 , 14.2 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 204096

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

FDA NDC Directory listings under NDA 204096
ProductStrengthForm · routeLabelerProduct NDC
Astagraf XLtacrolimus extended-release capsulesTacrolimus .5 mg/1Capsule, Coated, Extended releaseOralAstellas Pharma US, Inc.0469-0647
Astagraf XLtacrolimus extended-release capsulesTacrolimus 1 mg/1Capsule, Coated, Extended releaseOralAstellas Pharma US, Inc.0469-0677

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Astagraf XL NDC 0469-0687 | Med-Code