NDC codes

FDA NDC Directory
Product NDC (as listed)25021-468Labeler and product segments. Claims need a package NDC.
Product NDC at billing width25021-0468Add 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
25021-468-10250210468101 VIAL in 1 CARTON (25021-468-10) / 5 mL in 1 VIALMarketed from Jan 1, 2024

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)
Levothyroxine Sodium
Generic name (nonproprietary)
levothyroxine sodium anhydrous
Active ingredients
Levothyroxine sodium anhydrous — 100 ug/5mL
Dosage form
Injection, Powder, Lyophilized, For solution
Route
Intravenous
Labeler
Sagent PharmaceuticalsNDC labeler code 25021
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 208749
Marketing start
Listing expires
Other FDA classes
Thyroxine (Chemical structure)
Identifiers
Product ID 25021-468_2662e418-ef9b-40be-abbd-db71401e3c20SPL ID 2662e418-ef9b-40be-abbd-db71401e3c20SPL set ID f57e9b19-6f17-4520-80fc-511322cc56c9RxCUI 966219, 1115267, 1115269UNII 054I36CPMN
Pharmacologic class
l-Thyroxine

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

N425021046810 followed by a unit qualifier and the quantity

Package 25021-0468-10. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Levothyroxine Sodium for Injection is indicated for the treatment of myxedema coma. Important Limitations of Use: The relative bioavailability between Levothyroxine Sodium for Injection and oral levothyroxine products has not been established. Caution should be used when switching patients from oral levothyroxine products to Levothyroxine Sodium for Injection as accurate dosing conversion has not been studied. Levothyroxine Sodium is an L-thyroxine product. Levothyroxine (T 4 ) Sodium for Injection is indicated for the treatment of myxedema coma. ( 1 ) Important Limitations of Use: The relative bioavailability of this drug has not been established. Use caution when converting patients from o…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 25021-468

What is NDC 25021-468?
25021-468 is the product NDC for Levothyroxine Sodium (levothyroxine sodium anhydrous), Levothyroxine sodium anhydrous 100 ug/5mL injection, powder, lyophilized, for solution, listed with the FDA by Sagent Pharmaceuticals. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Levothyroxine Sodium (Levothyroxine Sodium Anhydrous).
What is the active ingredient?
Levothyroxine sodium anhydrous.
Who is the labeler?
Sagent Pharmaceuticals, NDC labeler code 25021. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Levothyroxine Sodium?
528 other product NDCs are listed under this name. See all Levothyroxine Sodium 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 Levothyroxine Sodium NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Levothyroxine SodiumLevothyroxine sodium .05 mg/1TabletOralCoupler LLC67046-081967046-0819-03
Levothyroxine SodiumLevothyroxine sodium .137 mg/1TabletOralCoupler LLC67046-097267046-0972-03
Levothyroxine SodiumLevothyroxine sodium .2 mg/1TabletOralCoupler LLC67046-038767046-0387-03
Levothyroxine SodiumLevothyroxine sodium .125 mg/1TabletOralCoupler LLC67046-095167046-0951-03
Levothyroxine SodiumLevothyroxine sodium 100 ug/1TabletOralCoupler LLC67046-167967046-1679-03
Levothyroxine SodiumLevothyroxine sodium .175 mg/1TabletOralCoupler LLC67046-051767046-0517-03
Levothyroxine SodiumLevothyroxine sodium .1 mg/1TabletOralCoupler LLC67046-056967046-0569-03
Levothyroxine SodiumLevothyroxine sodium .15 mg/1TabletOralCoupler LLC67046-051567046-0515-03
Levothyroxine SodiumLevothyroxine sodium .075 mg/1TabletOralCoupler LLC67046-080167046-0801-03
Levothyroxine SodiumLevothyroxine sodium .025 mg/1TabletOralCoupler LLC67046-082867046-0828-03

All 529 Levothyroxine Sodium NDCs

Other NDCs under ANDA 208749

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

FDA NDC Directory listings under ANDA 208749
ProductStrengthForm · routeLabelerProduct NDC
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 200 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousSagent Pharmaceuticals25021-469
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 500 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousSagent Pharmaceuticals25021-470
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 100 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousMAIA Pharmaceuticals, Inc.70511-111
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 200 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousMAIA Pharmaceuticals, Inc.70511-112
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 500 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousMAIA Pharmaceuticals, Inc.70511-113

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