NDC codes

FDA NDC Directory
Product NDC (as listed)10122-590Labeler and product segments. Claims need a package NDC.
Product NDC at billing width10122-0590Add 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
10122-590-02101220590021 CANISTER in 1 CARTON (10122-590-02) / 120 AEROSOL, METERED in 1 CANISTERMarketed from May 14, 2026 · Sample package

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Trimbow
Generic name (nonproprietary)
beclomethasone dipropionate/formoterol fumarate/glycopyrrolate
Active ingredients
Beclomethasone dipropionate — 172 ug/1Formoterol fumarate — 4.9 ug/1Glycopyrrolate — 10.6 ug/1
Dosage form
Aerosol, Metered
Route
Respiratory (Inhalation)
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 219622
Marketing start
Listing expires
Other FDA classes
Adrenergic beta2-Agonists (Mechanism)Cholinergic Antagonists (Mechanism)Cholinergic Muscarinic Antagonists (Mechanism)Corticosteroid Hormone Receptor Agonists (Mechanism)
Identifiers
Product ID 10122-590_bf66a8b9-0bd5-4bdc-a9ae-414276617046SPL ID bf66a8b9-0bd5-4bdc-a9ae-414276617046SPL set ID 4e13e70f-f550-4603-bbfb-346f80df3c4fRxCUI 2747295, 2747302, 2747312, 2747315UNII W34SHF8J2K, V92SO9WP2I, 5B307S63B2
Pharmacologic class
Anticholinergic; Cholinergic Muscarinic Antagonist; Corticosteroid; beta2-Adrenergic Agonist

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N410122059002 followed by a unit qualifier and the quantity

Package 10122-0590-02. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

TRIMBOW is indicated for the maintenance treatment of asthma in adult patients aged 18 years and older. Limitati ons of Use TRIMBOW is NOT indicated for relief of acute bronchospasm [see Warnings and Precautions ( 5.2 ) ] . TRIMBOW is a combination of beclomethasone dipropionate (BDP) (an inhaled corticosteroid [ICS]), formoterol fumarate (FF) (a long-acting beta 2 -adrenergic agonist [LABA]), and glycopyrrolate (G) (an anticholinergic) indicated for the maintenance treatment of asthma in adult patients aged 18 years and older. ( 1 ) Limitation s of Use Not indicated for relief of acute bronchospasm. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 219622

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

FDA NDC Directory listings under NDA 219622
ProductStrengthForm · routeLabelerProduct NDC
Trimbowbeclomethasone dipropionate/formoterol fumarate/glycopyrrolateBeclomethasone dipropionate 86 ug/1 + 2 more ingredientsAerosol, MeteredRespiratory (Inhalation)Chiesi USA, Inc.10122-460
Trimbowbeclomethasone dipropionate/formoterol fumarate/glycopyrrolateBeclomethasone dipropionate 86 ug/1 + 2 more ingredientsAerosol, MeteredRespiratory (Inhalation)Chiesi USA, Inc.10122-120
Trimbowbeclomethasone dipropionate/formoterol fumarate/glycopyrrolateBeclomethasone dipropionate 172 ug/1 + 2 more ingredientsAerosol, MeteredRespiratory (Inhalation)Chiesi USA, Inc.10122-121

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