NDC codes

FDA NDC Directory
Product NDC (as listed)42571-316Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42571-0316Add 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
42571-316-0142571031601100 TABLET in 1 BOTTLE (42571-316-01)Marketed from Apr 2, 2019
42571-316-1142571031611100 BLISTER PACK in 1 CARTON (42571-316-11) / 10 TABLET in 1 BLISTER PACK (42571-316-32)Marketed from Apr 2, 2019
42571-316-304257103163030 TABLET in 1 BOTTLE (42571-316-30)Marketed from Apr 2, 2019
42571-316-904257103169090 TABLET in 1 BOTTLE (42571-316-90)Marketed from Apr 2, 2019
42571-316-9142571031691100 BLISTER PACK in 1 CARTON (42571-316-91) / 10 TABLET in 1 BLISTER PACK (42571-316-20)Marketed from Apr 2, 2019

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)
Clobazam
Generic name (nonproprietary)
clobazam
Active ingredients
Clobazam — 20 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211711
Marketing start
Listing expires
DEA schedule
CIV
Other FDA classes
Benzodiazepines (Chemical structure)Cytochrome P450 2D6 Inhibitors (Mechanism)Cytochrome P450 3A4 Inducers (Mechanism)
Identifiers
Product ID 42571-316_50d350cb-6640-b3c2-e063-6394a90a397bSPL ID 50d350cb-6640-b3c2-e063-6394a90a397bSPL set ID 721dde68-db83-4dad-8649-8046cb455372RxCUI 199450, 246172UNII 2MRO291B4UUPC 0342571316013, 0342571315016
Pharmacologic class
Benzodiazepine

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

N442571031601 followed by a unit qualifier and the quantity

Package 42571-0316-01. 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)

Clobazam tablet is indicated for the adjunctive treatment of seizures associated with Lennox-Gastaut syndrome (LGS) in patients 2 years of age or older. Clobazam tablet is a benzodiazepine indicated for adjunctive treatment of seizures associated with Lennox-Gastaut syndrome (LGS) in patients 2 years of age or older ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 211711

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

FDA NDC Directory listings under ANDA 211711
ProductStrengthForm · routeLabelerProduct NDC
ClobazamClobazam 10 mg/1TabletOralMicro Labs Limited42571-315

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