NDC codes

FDA NDC Directory
Product NDC (as listed)0555-1057Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00555-1057Add 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
0555-1057-560055510575610 BLISTER PACK in 1 CARTON (0555-1057-56) / 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (0555-1057-60)Marketed from May 9, 2003
0555-1057-86005551057863 BLISTER PACK in 1 CARTON (0555-1057-86) / 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (0555-1057-60)Marketed from May 9, 2003

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)
Claravis
Generic name (nonproprietary)
isotretinoin
Active ingredients
Isotretinoin — 40 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076135
Marketing start
Listing expires
Other FDA classes
Retinoids (Chemical structure)
Identifiers
Product ID 0555-1057_0ace332b-58a2-4b31-86ae-a00bfd3361d4SPL ID 0ace332b-58a2-4b31-86ae-a00bfd3361d4SPL set ID a31fd109-d0fd-4ab9-ba98-a3d64333c18dRxCUI 197843, 197844, 197845, 403930, 404059, 404062, 404065, 643488UNII EH28UP18IF
Pharmacologic class
Retinoid

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

N400555105756 followed by a unit qualifier and the quantity

Package 00555-1057-56. 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)

Claravis ™ (isotretinoin capsules USP) is indicated for the treatment of severe recalcitrant nodular acne in non-pregnant patients 12 years of age and older with multiple inflammatory nodules with a diameter of 5 mm or greater. Because of significant adverse reactions associated with its use, Claravis is reserved for patients with severe nodular acne who are unresponsive to conventional therapy, including systemic antibiotics. Limitations of Use : If a second course of Claravis treatment is needed, it is not recommended before a two-month waiting period because the patient's acne may continue to improve following a 15 to 20-week course of treatment [see Dosage and Administration ( 2.2 )]. Cl…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 076135

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

FDA NDC Directory listings under ANDA 076135
ProductStrengthForm · routeLabelerProduct NDC
ClaravisisotretinoinIsotretinoin 20 mg/1Capsule, Liquid filledOralTeva Pharmaceuticals USA, Inc.0555-1055
ClaravisisotretinoinIsotretinoin 30 mg/1Capsule, Liquid filledOralTeva Pharmaceuticals USA, Inc.0555-1056

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