NDC codes

FDA NDC Directory
Product NDC (as listed)42571-133Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42571-0133Add 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
42571-133-294257101332960 BLISTER PACK in 1 CARTON (42571-133-29) / 10 TABLET in 1 BLISTER PACKMarketed from Sep 1, 2021
42571-133-304257101333030 TABLET in 1 BOTTLE (42571-133-30)Marketed from Sep 1, 2021
42571-133-604257101336060 TABLET in 1 BOTTLE (42571-133-60)Marketed from Sep 1, 2021
42571-133-904257101339090 TABLET in 1 BOTTLE (42571-133-90)Marketed from Sep 1, 2021

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)
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOLSuffix: DICLOFENAC-SODIUM-MISOPROSTOL
Generic name (nonproprietary)
diclofenac sodium/misoprostol
Active ingredients
Diclofenac sodium — 50 mg/1Misoprostol — 200 ug/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204355
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Decreased Prostaglandin Production (Physiologic effect)Synthetic (Chemical structure)
Identifiers
Product ID 42571-133_3afc5367-562f-b4a0-e063-6294a90a2560SPL ID 3afc5367-562f-b4a0-e063-6294a90a2560SPL set ID c61df58d-d6bb-4d3e-9ef8-60caa7d4e762RxCUI 857706, 1359105UNII 0E43V0BB57, QTG126297QUPC 0342571133603, 0342571134600
Pharmacologic class
Nonsteroidal Anti-inflammatory Drug; Prostaglandin E1 Analog

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

N442571013329 followed by a unit qualifier and the quantity

Package 42571-0133-29. 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)

Diclofenac sodium and misoprostol delayed-release tablets are indicated for treatment of the signs and symptoms of osteoarthritis or rheumatoid arthritis in adult patients at high risk of developing NSAID-induced gastric and duodenal ulcers and their complications. For a list of factors that may increase the risk of NSAID-induced gastric and duodenal ulcers and their complications [see Warnings and Precautions ( 5.3 )] . Diclofenac sodium and misoprostol delayed-release tablets are a combination of diclofenac sodium, a non-steroidal anti-inflammatory drug, and misoprostol, a prostaglandin-1 (PGE1) analog, indicated for the treatment of signs and symptoms of osteoarthritis or rheumatoid arthr…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 204355

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

FDA NDC Directory listings under ANDA 204355
ProductStrengthForm · routeLabelerProduct NDC
DICLOENAC SODIUM and MISOPROSTOL DRdicloenac sodium and misoprostolDiclofenac sodium 75 mg/1; Misoprostol 200 ug/1TabletOralAdvanced Rx Pharmacy of Tennessee, LLC80425-0273
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOLdiclofenac sodium/misoprostolDiclofenac sodium 75 mg/1; Misoprostol 200 ug/1TabletOralMicro Labs Limited42571-134
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOLdiclofenac sodium/misoprostolDiclofenac sodium 75 mg/1; Misoprostol 200 ug/1TabletOralSportpharm LLC85766-192
Diclofenac Sodium/Misoprostol DICLOFENAC-SODIUM-MISOPROSTOLdiclofenac sodium/misoprostolDiclofenac sodium 75 mg/1; Misoprostol 200 ug/1TabletOralBryant Ranch Prepack71335-2603

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