NDC codes

FDA NDC Directory
Product NDC (as listed)0781-6206Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00781-6206Add 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
0781-6206-75007816206751 BOTTLE, WITH APPLICATOR in 1 CARTON (0781-6206-75) / 5 mL in 1 BOTTLE, WITH APPLICATORMarketed from Dec 6, 2016
0781-6206-93007816206931 BOTTLE, WITH APPLICATOR in 1 CARTON (0781-6206-93) / 3 mL in 1 BOTTLE, WITH APPLICATORMarketed from Dec 6, 2016

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)
Bimatoprost
Generic name (nonproprietary)
bimatoprost
Active ingredients
Bimatoprost — .3 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Labeler
Sandoz Inc
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202719
Marketing start
Listing expires
Other FDA classes
Prostaglandins (Chemical structure)
Identifiers
Product ID 0781-6206_68075f38-ba3d-4a73-b51a-b1b70177067dSPL ID 68075f38-ba3d-4a73-b51a-b1b70177067dSPL set ID 27bef7e1-750a-4ac1-ab5f-e4c0121ffcbcRxCUI 1041495UNII QXS94885MZ
Pharmacologic class
Prostaglandin Analog

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. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400781620675 followed by a unit qualifier and the quantity

Package 00781-6206-75. 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.

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