Lotemax (loteprednol etabonate) NDC 24208-443

NDC codes

FDA NDC Directory

Product NDC (as listed)24208-443Labeler and product segments. Claims need a package NDC.

Product NDC at billing width24208-0443Add 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	Copy
24208-443-01	24208044301	1 TUBE in 1 CARTON (24208-443-01) / 1 g in 1 TUBEMarketed from Apr 15, 2011 · Sample package
24208-443-35	24208044335	1 TUBE in 1 CARTON (24208-443-35) / 3.5 g in 1 TUBEMarketed from Apr 15, 2011

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): Lotemax
Generic name (nonproprietary): loteprednol etabonate
Active ingredients: Loteprednol etabonate — 5 mg/g
Dosage form: Ointment
Route: Ophthalmic
Labeler: Bausch & Lomb Incorporated
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 200738
Marketing start: Apr 15, 2011
Listing expires: Dec 31, 2026
Other FDA classes: Corticosteroid Hormone Receptor Agonists (Mechanism)
Identifiers: Product ID 24208-443_b1d6fda8-73c9-478f-addd-14949e0454e4SPL ID b1d6fda8-73c9-478f-addd-14949e0454e4SPL set ID 902a3c6b-2625-44ec-a077-926e012b3176RxCUI 1099500, 1099503UNII YEH1EZ96K6
Pharmacologic class: Corticosteroid

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. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N424208044301 followed by a unit qualifier and the quantity

Package 24208-0443-01. 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

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