NDC codes

FDA NDC Directory
Product NDC (as listed)0574-2205Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00574-2205Add 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
0574-2205-20005742205201 TUBE in 1 CARTON (0574-2205-20) / 20 g in 1 TUBEMarketed from May 5, 2017
0574-2205-45005742205451 TUBE in 1 CARTON (0574-2205-45) / 45 g in 1 TUBEMarketed from Apr 26, 2017

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)
Tretinoin
Generic name (nonproprietary)
tretinoin
Active ingredients
Tretinoin — .5 mg/g
Dosage form
Cream
Route
Topical
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075265
Marketing start
Listing expires
Other FDA classes
Retinoids (Chemical structure)
Identifiers
Product ID 0574-2205_f7c1542f-286b-449a-86f6-b86f7369c36eSPL ID f7c1542f-286b-449a-86f6-b86f7369c36eSPL set ID 4889c7f8-37d0-4f1a-9829-bca107806586RxCUI 106302, 106303, 198300, 313450, 313451UNII 5688UTC01R
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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400574220520 followed by a unit qualifier and the quantity

Package 00574-2205-20. 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)

Indications and Usage: Tretinoin gel and cream are indicated for topical application in the treatment of acne vulgaris. The safety and efficacy of the long-term use of this product in the treatment of other disorders have not been established.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 075265

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

FDA NDC Directory listings under ANDA 075265
ProductStrengthForm · routeLabelerProduct NDC
TretinoinTretinoin .5 mg/gCreamTopicalBryant Ranch Prepack72162-2158
TretinoinTretinoin .5 mg/gCreamTopicalA-S Medication Solutions50090-3058

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