NDC codes

FDA NDC Directory
Product NDC (as listed)24208-507Labeler and product segments. Claims need a package NDC.
Product NDC at billing width24208-0507Add 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
24208-507-01242080507011 BOTTLE in 1 CARTON (24208-507-01) / .5 g in 1 BOTTLEMarketed from Feb 25, 2019 · Sample package
24208-507-07242080507071 BOTTLE in 1 CARTON (24208-507-07) / 5 g in 1 BOTTLEMarketed from Feb 25, 2019

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 SM
Generic name (nonproprietary)
loteprednol etabonate
Active ingredients
Loteprednol etabonate — 3.8 mg/g
Dosage form
Gel
Route
Ophthalmic
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 208219
Marketing start
Listing expires
Other FDA classes
Corticosteroid Hormone Receptor Agonists (Mechanism)
Identifiers
Product ID 24208-507_4e5af379-3e45-420f-e063-6294a90a4adaSPL ID 4e5af379-3e45-420f-e063-6294a90a4adaSPL set ID 6f9477b5-699f-4d3b-b9a6-0cc238266237RxCUI 2118537, 2118539UNII 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

N424208050701 followed by a unit qualifier and the quantity

Package 24208-0507-01. 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 .

Indications (excerpt from the label)

LOTEMAX ® SM (loteprednol etabonate ophthalmic gel) 0.38% is a corticosteroid indicated for the treatment of post-operative inflammation and pain following ocular surgery. LOTEMAX ® SM is a corticosteroid indicated for the treatment of post-operative inflammation and pain following ocular surgery. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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