NDC codes

FDA NDC Directory
Product NDC (as listed)42023-202Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42023-0202Add 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
42023-202-01420230202011 VIAL, SINGLE-DOSE in 1 CARTON (42023-202-01) / 5 mL in 1 VIAL, SINGLE-DOSEMarketed from Jun 24, 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)
Levothyroxine Sodium
Generic name (nonproprietary)
levothyroxine sodium anhydrous
Active ingredients
Levothyroxine sodium anhydrous — 200 ug/5mL
Dosage form
Injection, Powder, Lyophilized, For solution
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 202231
Marketing start
Listing expires
Other FDA classes
Thyroxine (Chemical structure)
Identifiers
Product ID 42023-202_7e79776a-ca4b-49a9-8bc8-131c425c0bb2SPL ID 7e79776a-ca4b-49a9-8bc8-131c425c0bb2SPL set ID 9d815416-11c9-470e-a82f-89b0bf232e12RxCUI 966219, 1115267, 1115269UNII 054I36CPMNUPC 0342023201010, 0342023203014, 0342023202017
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

N442023020201 followed by a unit qualifier and the quantity

Package 42023-0202-01. 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 . 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)

Other NDCs under NDA 202231

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

FDA NDC Directory listings under NDA 202231
ProductStrengthForm · routeLabelerProduct NDC
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 200 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousFresenius Kabi USA, LLC63323-647
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 500 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousFresenius Kabi USA, LLC63323-648
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 500 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousFresenius Kabi USA, LLC63323-648
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 100 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousFresenius Kabi USA, LLC63323-649
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 100 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousFresenius Kabi USA, LLC63323-649
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 100 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousFresenius Kabi USA, LLC63323-649
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 100 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousENDO USA, Inc.42023-201
Levothyroxine Sodiumlevothyroxine sodium anhydrousLevothyroxine sodium anhydrous 500 ug/5mLInjection, Powder, Lyophilized, For solutionIntravenousENDO USA, Inc.42023-203

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in