NDC codes

FDA NDC Directory
Product NDC (as listed)16714-405Labeler and product segments. Claims need a package NDC.
Product NDC at billing width16714-0405Add 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
16714-405-01167140405011 BLISTER PACK in 1 PACKET (16714-405-01) / 1 KIT in 1 BLISTER PACKMarketed from Aug 23, 2013
16714-405-02167140405021 BLISTER PACK in 1 CARTON (16714-405-02) / 1 KIT in 1 BLISTER PACKMarketed from Aug 23, 2013
16714-405-03167140405033 BLISTER PACK in 1 CARTON (16714-405-03) / 1 KIT in 1 BLISTER PACKMarketed from Aug 23, 2013
16714-405-04167140405046 BLISTER PACK in 1 CARTON (16714-405-04) / 1 KIT in 1 BLISTER PACKMarketed from Aug 23, 2013

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)
Larin Fe 1.5/30
Generic name (nonproprietary)
norethindrone acetate/ethinyl estradiol and ferrous fumarate
Dosage form
Kit
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091453
Marketing start
Listing expires
Identifiers
Product ID 16714-405_9f9a5641-b363-47b9-849a-6f6095b7015bSPL ID 9f9a5641-b363-47b9-849a-6f6095b7015bSPL set ID ee79a7fa-1c64-4b7b-822c-e0ddefc8ef86RxCUI 259176, 1359022, 1359023, 1440937

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

N416714040501 followed by a unit qualifier and the quantity

Package 16714-0405-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE LARIN TM Fe 1.5/30 is indicated for the prevention of pregnancy in women who elect to use oral contraceptives as a method of contraception. Oral contraceptives are highly effective. Table I lists the typical accidental pregnancy rates for users of combination oral contraceptives and other methods of contraception. The efficacy of these contraceptive methods, except sterilization, depends upon the reliability with which they are used. Correct and consistent use of methods can result in lower failure rates. TABLE I: LOWEST EXPECTED AND TYPICAL FAILURE RATES DURING THE FIRST YEAR OF CONTINUOUS USE OF A METHOD % of Women Experiencing an Unintended Pregnancy in the First Yea…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 091453

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

FDA NDC Directory listings under ANDA 091453
ProductStrengthForm · routeLabelerProduct NDC
Microgestin Fe 1.5/30norethindrone acetate/ethinyl estradiol and ferrous fumarate—KitProficient Rx LP82804-096
Microgestin Fe 1.5/30norethindrone acetate/ethinyl estradiol and ferrous fumarate—KitDr. Reddys Laboratories Inc75907-081
Microgestin Fe 1.5/30norethindrone acetate/ethinyl estradiol and ferrous fumarate—KitMayne Pharma Inc.51862-870

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