NDC codes

FDA NDC Directory
Product NDC (as listed)42747-604Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42747-0604Add 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
42747-604-07427470604071 BLISTER PACK in 1 BOX (42747-604-07) / 7 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Aug 27, 2019 · Sample package
42747-604-904274706049090 TABLET, FILM COATED in 1 BOTTLE (42747-604-90)Marketed from Aug 27, 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)
Nourianz
Generic name (nonproprietary)
istradefylline
Active ingredients
Istradefylline — 40 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Kyowa Kirin, Inc.NDC labeler code 42747
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022075
Marketing start
Listing expires
Identifiers
Product ID 42747-604_607b4223-661d-45e0-8209-99c5ba62d5c0SPL ID 607b4223-661d-45e0-8209-99c5ba62d5c0SPL set ID a7d008cb-b273-4049-a5d2-9c6902910d58RxCUI 2199020, 2199026, 2199028, 2199030UNII 2GZ0LIK7T4UPC 0342747604906, 0342747602902

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

N442747060407 followed by a unit qualifier and the quantity

Package 42747-0604-07. 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)

NOURIANZ is indicated as adjunctive treatment to levodopa/carbidopa in adult patients with Parkinson's disease (PD) experiencing "off" episodes. NOURIANZ is an adenosine receptor antagonist indicated as adjunctive treatment to levodopa/carbidopa in adult patients with Parkinson's disease (PD) experiencing "off" episodes ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 42747-604

What is NDC 42747-604?
42747-604 is the product NDC for Nourianz (istradefylline), Istradefylline 40 mg/1 tablet, film coated, listed with the FDA by Kyowa Kirin, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nourianz (Istradefylline).
What is the active ingredient?
Istradefylline.
Who is the labeler?
Kyowa Kirin, Inc., NDC labeler code 42747. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Nourianz?
1 other product NDC are listed under this name. See all Nourianz NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Nourianz NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
NourianzistradefyllineIstradefylline 20 mg/1Tablet, Film coatedOralKyowa Kirin, Inc.42747-60242747-0602-0742747-0602-90

Other NDCs under NDA 022075

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

FDA NDC Directory listings under NDA 022075
ProductStrengthForm · routeLabelerProduct NDC
NourianzistradefyllineIstradefylline 20 mg/1Tablet, Film coatedOralKyowa Kirin, Inc.42747-602

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