Montelukast Sodium NDC 13668-079

NDC codes

FDA NDC Directory

Product NDC (as listed)13668-079Labeler and product segments. Claims need a package NDC.

Product NDC at billing width13668-0079Add 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 NDC	11-digit (billing)	Package
13668-079-05	13668007905	500 TABLET, CHEWABLE in 1 BOTTLE (13668-079-05)Marketed from Aug 3, 2012
13668-079-30	13668007930	30 TABLET, CHEWABLE in 1 BOTTLE (13668-079-30)Marketed from Aug 3, 2012
13668-079-90	13668007990	90 TABLET, CHEWABLE in 1 BOTTLE (13668-079-90)Marketed from Aug 3, 2012

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): Montelukast Sodium
Generic name (nonproprietary): montelukast sodium
Active ingredients: Montelukast sodium — 4 mg/1
Dosage form: Tablet, Chewable
Route: Oral
Labeler: Torrent Pharmaceuticals Limited
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 090984
Marketing start: Aug 3, 2012
Listing expires: Dec 31, 2027
Other FDA classes: Leukotriene Receptor Antagonists (Mechanism)
Identifiers: Product ID 13668-079_3ad1ce49-1a92-4068-9006-04fe04136a62SPL ID 3ad1ce49-1a92-4068-9006-04fe04136a62SPL set ID da038cf6-cfad-43a4-ab8e-d81d028d6087RxCUI 200224, 242438, 311759, 351246UNII U1O3J18SFLUPC 0313668079302
Pharmacologic class: Leukotriene Receptor Antagonist

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

N413668007905 followed by a unit qualifier and the quantity

Package 13668-0079-05. 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

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