NDC codes

FDA NDC Directory
Product NDC (as listed)17772-121Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17772-0121Add 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
17772-121-0117772012101100 TABLET in 1 BOTTLE (17772-121-01)Marketed from Jan 17, 2013
17772-121-07177720121077 TABLET in 1 BOTTLE (17772-121-07)Marketed from Jul 1, 2023 · Sample package
17772-121-10177720121105 TABLET in 1 BLISTER PACK (17772-121-10)Marketed from Jan 17, 2013 · 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)
Oxtellar XR
Generic name (nonproprietary)
oxcarbazepine
Active ingredients
Oxcarbazepine — 150 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Supernus Pharmaceuticals, Inc.NDC labeler code 17772
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 202810
Marketing start
Listing expires
Other FDA classes
Decreased Central Nervous System Disorganized Electrical Activity (Physiologic effect)
Identifiers
Product ID 17772-121_5b887c21-e4f8-1936-e063-6294a90a6db7SPL ID 5b887c21-e4f8-1936-e063-6294a90a6db7
Pharmacologic class
Anti-epileptic Agent

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

N417772012101 followed by a unit qualifier and the quantity

Package 17772-0121-01. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 17772-121

What is NDC 17772-121?
17772-121 is the product NDC for Oxtellar XR (oxcarbazepine), Oxcarbazepine 150 mg/1 tablet, listed with the FDA by Supernus Pharmaceuticals, Inc.. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Oxtellar XR (Oxcarbazepine).
What is the active ingredient?
Oxcarbazepine.
Who is the labeler?
Supernus Pharmaceuticals, Inc., NDC labeler code 17772. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Oxtellar XR?
2 other product NDCs are listed under this name. See all Oxtellar XR NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Oxtellar XR NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Oxtellar XRoxcarbazepineOxcarbazepine 300 mg/1TabletOralSupernus Pharmaceuticals, Inc.17772-12217772-0122-0117772-0122-0717772-0122-10
Oxtellar XRoxcarbazepineOxcarbazepine 600 mg/1TabletOralSupernus Pharmaceuticals, Inc.17772-12317772-0123-0117772-0123-0717772-0123-10

Other NDCs under NDA 202810

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

FDA NDC Directory listings under NDA 202810
ProductStrengthForm · routeLabelerProduct NDC
Oxtellar XRoxcarbazepineOxcarbazepine 300 mg/1TabletOralSupernus Pharmaceuticals, Inc.17772-122
Oxtellar XRoxcarbazepineOxcarbazepine 600 mg/1TabletOralSupernus Pharmaceuticals, Inc.17772-123

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