NDC codes

FDA NDC Directory
Product NDC (as listed)10147-0570Labeler and product segments. Claims need a package NDC.
Product NDC at billing width10147-0570Add 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
10147-0570-110147057001120 TABLET in 1 BOTTLE, PLASTIC (10147-0570-1)Marketed from Apr 1, 2025

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Etravirine
Generic name (nonproprietary)
etravirine
Active ingredients
Etravirine — 100 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022187
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C19 Inhibitors (Mechanism)Cytochrome P450 2C9 Inhibitors (Mechanism)Cytochrome P450 3A Inducers (Mechanism)Non-Nucleoside Analog (EXT)Non-Nucleoside Reverse Transcriptase Inhibitors (Mechanism)P-Glycoprotein Inhibitors (Mechanism)
Identifiers
Product ID 10147-0570_31cddc7a-0154-c49a-e063-6394a90a1a49SPL ID 31cddc7a-0154-c49a-e063-6394a90a1a49SPL set ID 50ca19cb-0f43-4d7b-8c9e-8b3aaded0546RxCUI 754761, 1052658UNII 0C50HW4FO1UPC 0310147057110, 0310147057011
Pharmacologic class
Human Immunodeficiency Virus 1 Non-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

N410147057001 followed by a unit qualifier and the quantity

Package 10147-0570-01. 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)

Etravirine, in combination with other antiretroviral agents, is indicated for the treatment of human immunodeficiency virus type 1 (HIV-1) infection in antiretroviral treatment-experienced adult patients and pediatric patients 2 years of age and older [see Microbiology (12.4) and Clinical Studies (14) ] . Etravirine is a human immunodeficiency virus type 1 (HIV-1) non-nucleoside reverse transcriptase inhibitor (NNRTI) indicated for treatment of HIV-1 infection in treatment-experienced patients 2 years of age and older. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 022187

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

FDA NDC Directory listings under NDA 022187
ProductStrengthForm · routeLabelerProduct NDC
EtravirineEtravirine 200 mg/1TabletOralPatriot Pharmaceuticals10147-0571
IntelenceetravirineEtravirine 100 mg/1TabletOralJanssen Products LP59676-570
IntelenceetravirineEtravirine 200 mg/1TabletOralJanssen Products LP59676-571
IntelenceetravirineEtravirine 25 mg/1TabletOralJanssen Products LP59676-572

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Etravirine NDC 10147-0570 | Med-Code