NDC codes

FDA NDC Directory
Product NDC (as listed)31722-875Labeler and product segments. Claims need a package NDC.
Product NDC at billing width31722-0875Add 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
31722-875-903172208759090 TABLET, FILM COATED in 1 BOTTLE (31722-875-90)Marketed from Apr 30, 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)
pitavastatin calcium
Generic name (nonproprietary)
pitavastatin calcium
Active ingredients
Pitavastatin calcium — 1.045 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 205977
Marketing start
Listing expires
Other FDA classes
Hydroxymethylglutaryl-CoA Reductase Inhibitors (Mechanism)
Identifiers
Product ID 31722-875_179e2267-daf5-1cab-e063-6394a90a7f0eSPL ID 179e2267-daf5-1cab-e063-6394a90a7f0eSPL set ID e9622824-cee5-49d7-9273-f18b9cc176fdRxCUI 861643, 861648, 861652UNII IYD54XEG3WUPC 0331722875905, 0331722876902, 0331722877909
Pharmacologic class
HMG-CoA Reductase 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

N431722087590 followed by a unit qualifier and the quantity

Package 31722-0875-90. 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)

Pitavastatin tablets are indicated as an adjunct to diet to reduce low-density lipoprotein cholesterol (LDL-C) in: • Adults with primary hyperlipidemia. • Adults and pediatric patients aged 8 years and older with heterozygous familial hypercholesterolemia (HeFH). Pitavastatin tablets are a HMG-CoA reductase inhibitor (statin) indicated as an adjunct to diet to reduce low-density lipoprotein cholesterol (LDL-C) in: ( 1 ) • Adults with primary hyperlipidemia. • Adults and pediatric patients aged 8 years and older with heterozygous familial hypercholesterolemia (HeFH).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 205977

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

FDA NDC Directory listings under ANDA 205977
ProductStrengthForm · routeLabelerProduct NDC
pitavastatin calciumPitavastatin calcium 2 mg/1Tablet, Film coatedOralXLCare Pharmaceuticals Inc.72865-292
pitavastatin calciumPitavastatin calcium 4 mg/1Tablet, Film coatedOralXLCare Pharmaceuticals Inc.72865-293
pitavastatin calciumPitavastatin calcium 1 mg/1Tablet, Film coatedOralXLCare Pharmaceuticals Inc.72865-291
pitavastatin calciumPitavastatin calcium 2.09 mg/1Tablet, Film coatedOralCamber Pharmaceuticals, Inc.31722-876
pitavastatin calciumPitavastatin calcium 4.18 mg/1Tablet, Film coatedOralCamber Pharmaceuticals, Inc.31722-877
pitavastatin calciumPitavastatin calcium 2.09 mg/1Tablet, Film coatedOralNorthStar RxLLC72603-479
pitavastatin calciumPitavastatin calcium 4.18 mg/1Tablet, Film coatedOralNorthStar RxLLC72603-480

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