NDC codes

FDA NDC Directory
Product NDC (as listed)14789-220Labeler and product segments. Claims need a package NDC.
Product NDC at billing width14789-0220Add 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
14789-220-101478902201010 BAG in 1 CARTON (14789-220-10) / 100 mL in 1 BAG (14789-220-08)Marketed from Jul 20, 2020

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)
Levetiracetam in Sodium Chloride
Generic name (nonproprietary)
levetiracetam
Active ingredients
Levetiracetam — 10 mg/mL
Dosage form
Injection
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 213532
Marketing start
Listing expires
Other FDA classes
Decreased Central Nervous System Disorganized Electrical Activity (Physiologic effect)
Identifiers
Product ID 14789-220_a8f5d5d3-7659-4b56-895c-d1f9c3e81973SPL ID a8f5d5d3-7659-4b56-895c-d1f9c3e81973SPL set ID ee014183-a857-457b-9573-0cc168e560f3RxCUI 1193358, 1193360, 1193362UNII 44YRR34555UPC 0314789330150, 0314789110080, 0314789330082, 0314789220086

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.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N414789022010 followed by a unit qualifier and the quantity

Package 14789-0220-10. 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)

Levetiracetam in Sodium Chloride Injection is indicated for adjunct therapy in adults (≥16 years of age) with the following seizure types when oral administration is temporarily not feasible: Partial-onset seizures ( 1.1 ) Myoclonic seizures in patients with juvenile myoclonic epilepsy ( 1.2 ) Primary generalized tonic-clonic seizures ( 1.3 ) 1.1 Partial-Onset Seizures Levetiracetam in Sodium Chloride Injection is indicated as adjunctive therapy in the treatment of partial-onset seizures in adults with epilepsy. 1.2 Myoclonic Seizures in Patients with Juvenile Myoclonic Epilepsy Levetiracetam in Sodium Chloride Injection is indicated as adjunctive therapy in the treatment of myoclonic seizur…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 213532

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

FDA NDC Directory listings under ANDA 213532
ProductStrengthForm · routeLabelerProduct NDC
Levetiracetam in Sodium ChloridelevetiracetamLevetiracetam 5 mg/mLInjectionIntravenousNexus Pharmaceuticals LLC14789-110
Levetiracetam in Sodium ChloridelevetiracetamLevetiracetam 15 mg/mLInjectionIntravenousNexus Pharmaceuticals LLC14789-330

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