NDC codes

FDA NDC Directory
Product NDC (as listed)31722-622Labeler and product segments. Claims need a package NDC.
Product NDC at billing width31722-0622Add 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
31722-622-323172206223210 BLISTER PACK in 1 CARTON (31722-622-32) / 6 CAPSULE in 1 BLISTER PACKMarketed from Feb 3, 2025
31722-622-603172206226060 CAPSULE in 1 BOTTLE (31722-622-60)Marketed from May 6, 2020

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)
Dabigatran Etexilate
Generic name (nonproprietary)
dabigatran etexilate
Active ingredients
Dabigatran etexilate mesylate — 150 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207961
Marketing start
Listing expires
Other FDA classes
Thrombin Inhibitors (Mechanism)
Identifiers
Product ID 31722-622_3b236998-0037-d34f-e063-6294a90a03f5SPL ID 3b236998-0037-d34f-e063-6294a90a03f5SPL set ID 3c24e235-218b-438e-9456-42c18ff01913RxCUI 1037045, 1037179, 1723476UNII SC7NUW5IITUPC 0331722621601, 0331722622608, 0331722666602
Pharmacologic class
Direct Thrombin Inhibitor

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

N431722062232 followed by a unit qualifier and the quantity

Package 31722-0622-32. 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)

Dabigatran etexilate capsules are a direct thrombin inhibitor indicated: • To reduce the risk of stroke and systemic embolism in adult patients with non-valvular atrial fibrillation ( 1.1 ) • For the treatment of deep venous thrombosis (DVT) and pulmonary embolism (PE) in adult patients who have been treated with a parenteral anticoagulant for 5 to 10 days ( 1.2 ) • To reduce the risk of recurrence of DVT and PE in adult patients who have been previously treated ( 1.3 ) • For the prophylaxis of DVT and PE in adult patients who have undergone hip replacement surgery ( 1.4 ) • For the treatment of venous thromboembolic events (VTE) in pediatric patients 8 to less than 18 years of age who have …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 207961

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

FDA NDC Directory listings under ANDA 207961
ProductStrengthForm · routeLabelerProduct NDC
Dabigatran EtexilateDabigatran etexilate mesylate 150 mg/1CapsuleOralNorthStar RxLLC72603-239
Dabigatran EtexilateDabigatran etexilate mesylate 150 mg/1CapsuleOralXLCare Pharmaceuticals, Inc.72865-273
Dabigatran EtexilateDabigatran etexilate mesylate 75 mg/1CapsuleOralXLCare Pharmaceuticals, Inc.72865-272
Dabigatran EtexilateDabigatran etexilate mesylate 75 mg/1CapsuleOralCamber Pharmaceuticals, Inc.31722-621
Dabigatran EtexilateDabigatran etexilate mesylate 110 mg/1CapsuleOralCamber Pharmaceuticals, Inc.31722-666

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