NDC codes

FDA NDC Directory
Product NDC (as listed)0904-7172Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-7172Add 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
0904-7172-070090471720730 BLISTER PACK in 1 CARTON (0904-7172-07) / 1 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Jul 26, 2019

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)
Emtricitabine and Tenofovir Disoproxil Fumarate
Generic name (nonproprietary)
emtricitabine and tenofovir disoproxil fumarate
Active ingredients
Emtricitabine — 200 mg/1Tenofovir disoproxil fumarate — 300 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 212114
Marketing start
Listing expires
Other FDA classes
Nucleoside Reverse Transcriptase Inhibitors (Mechanism)Nucleoside Reverse Transcriptase Inhibitors (Mechanism)Nucleosides (Chemical structure)Nucleosides (Chemical structure)
Identifiers
Product ID 0904-7172_cc40ec5b-e251-4c5b-9cd6-f9286acce0c0SPL ID cc40ec5b-e251-4c5b-9cd6-f9286acce0c0SPL set ID a78b51c9-c944-4b00-af81-9ecbfbb29fd1RxCUI 476556UNII G70B4ETF4S, OTT9J7900I
Pharmacologic class
Hepatitis B Virus Nucleoside Analog Reverse Transcriptase Inhibitor; Human Immunodeficiency Virus Nucleoside Analog Reverse Transcriptase Inhibitor

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

N400904717207 followed by a unit qualifier and the quantity

Package 00904-7172-07. 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)

HIV-1 Treatment ( 1.1 ) Emtricitabine and tenofovir disoproxil fumarate tablets are a two-drug combination of emtricitabine (FTC) and tenofovir disoproxil fumarate (TDF), both HIV-1 nucleoside analog reverse transcriptase inhibitors, and is indicated: • in combination with other antiretroviral agents for the treatment of HIV-1 infection in adults and pediatric patients weighing at least 17 kg. HIV-1 PrEP ( 1.2 ): • Emtricitabine and tenofovir disoproxil fumarate tablets are indicated in at-risk adults and adolescents weighing at least 35 kg for pre-exposure prophylaxis (PrEP) to reduce the risk of sexually acquired HIV-1 infection. Individuals must have a negative HIV-1 test immediately prio…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 212114

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

FDA NDC Directory listings under ANDA 212114
ProductStrengthForm · routeLabelerProduct NDC
Emtricitabine and Tenofovir Disoproxil FumarateEmtricitabine 200 mg/1; Tenofovir disoproxil fumarate 300 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-2650
Emtricitabine and Tenofovir Disoproxil FumarateEmtricitabine 200 mg/1; Tenofovir disoproxil fumarate 300 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6494
Emtricitabine and Tenofovir Disoproxil FumarateEmtricitabine 200 mg/1; Tenofovir disoproxil fumarate 300 mg/1Tablet, Film coatedOralLaurus Labs Limited42385-953
Emtricitabine and Tenofovir Disoproxil FumarateEmtricitabine 200 mg/1; Tenofovir disoproxil fumarate 300 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals, Inc.68071-3986

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