NDC codes

FDA NDC Directory
Product NDC (as listed)0555-0873Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00555-0873Add 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
0555-0873-0200555087302100 TABLET in 1 BOTTLE (0555-0873-02)Marketed from Dec 4, 1996
0555-0873-0400555087304500 TABLET in 1 BOTTLE (0555-0873-04)Marketed from Dec 4, 1996

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)
Medroxyprogesterone Acetate
Generic name (nonproprietary)
medroxyprogesterone acetate
Active ingredients
Medroxyprogesterone acetate — 5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040159
Marketing start
Listing expires
Other FDA classes
Progesterone Congeners (Chemical structure)
Identifiers
Product ID 0555-0873_b8f519a9-a8d0-4dd5-b138-564fb579c461SPL ID b8f519a9-a8d0-4dd5-b138-564fb579c461SPL set ID 9eb200b0-db96-4a51-87ea-04db862978c8RxCUI 1000114, 1000135, 1000141UNII C2QI4IOI2GUPC 0305550873020, 0305550872023
Pharmacologic class
Progestin

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

N400555087302 followed by a unit qualifier and the quantity

Package 00555-0873-02. 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 040159

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

FDA NDC Directory listings under ANDA 040159
ProductStrengthForm · routeLabelerProduct NDC
Medroxyprogesterone AcetateMedroxyprogesterone acetate 5 mg/1TabletOralA-S Medication Solutions50090-0491
Medroxyprogesterone AcetateMedroxyprogesterone acetate 2.5 mg/1TabletOralA-S Medication Solutions50090-0490
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralBryant Ranch Prepack63629-8824
Medroxyprogesterone AcetateMedroxyprogesterone acetate 2.5 mg/1TabletOralBryant Ranch Prepack63629-8825
Medroxyprogesterone AcetateMedroxyprogesterone acetate 5 mg/1TabletOralBryant Ranch Prepack63629-8826
Medroxyprogesterone AcetateMedroxyprogesterone acetate 2.5 mg/1TabletOralCoupler LLC67046-1480
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralTeva Pharmaceuticals USA, Inc.0555-0779
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralREMEDYREPACK INC.70518-3070
Medroxyprogesterone AcetateMedroxyprogesterone acetate 2.5 mg/1TabletOralTeva Pharmaceuticals USA, Inc.0555-0872
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralNorthwind Health Company, LLC51655-520
Medroxyprogesterone AcetateMedroxyprogesterone acetate 5 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8112
Medroxyprogesterone AcetateMedroxyprogesterone acetate 2.5 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-043
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralAmerican Health Packaging60687-105
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralProficient Rx LP63187-382
MedroxyprogesteroneMedroxyprogesterone acetate 10 mg/1TabletOralPharmPak, Inc.54348-805
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.55289-160
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralA-S Medication Solutions50090-0166
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralPreferred Pharmaceuticals, Inc.68788-9899
Medroxyprogesterone AcetateMedroxyprogesterone acetate 10 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-4132
Medroxyprogesterone AcetateMedroxyprogesterone acetate 2.5 mg/1TabletOralREMEDYREPACK INC.70518-4666

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