NDC codes

FDA NDC Directory
Product NDC (as listed)43063-762Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43063-0762Add 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
43063-762-304306307623030 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (43063-762-30)Marketed from May 4, 2017

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)
Montelukast Sodium
Generic name (nonproprietary)
montelukast sodium
Active ingredients
Montelukast sodium — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202717
Marketing start
Listing expires
Other FDA classes
Leukotriene Receptor Antagonists (Mechanism)
Identifiers
Product ID 43063-762_414b7ce2-7550-5e40-e063-6294a90afda2SPL ID 414b7ce2-7550-5e40-e063-6294a90afda2SPL set ID c9ec1996-6a54-4622-b8a6-57dea49f6b35RxCUI 200224UNII U1O3J18SFLUPC 0343063762301
Pharmacologic class
Leukotriene Receptor Antagonist

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

N443063076230 followed by a unit qualifier and the quantity

Package 43063-0762-30. 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)

Montelukast sodium tablets are a leukotriene receptor antagonist indicated for: Prophylaxis and chronic treatment of asthma in patients 15 years of age and older ( 1.1 ). Acute prevention of exercise-induced bronchoconstriction (EIB) in patients 15 years of age and older ( 1.2 ). Relief of symptoms of allergic rhinitis (AR): seasonal allergic rhinitis (SAR) in patients 15 years of age and older, and perennial allergic rhinitis (PAR) in patients 15 years of age and older. Reserve use for patients who have an inadequate response or intolerance to alternative therapies ( 1.3 ). Limitations of Use: Not indicated to treat an acute asthma attack ( 5.2 ). 1.1 Asthma Montelukast sodium tablet is ind…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 202717

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

FDA NDC Directory listings under ANDA 202717
ProductStrengthForm · routeLabelerProduct NDC
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-3355
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-0514
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralProficient Rx LP63187-781
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-4047
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralAccord Healthcare Inc.16729-119
Montelukast SodiumMontelukast sodium 10 mg/1Tablet, Film coatedOralRedpharm Drug67296-1926

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