NDC codes

FDA NDC Directory
Product NDC (as listed)43386-237Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43386-0237Add 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
43386-237-60433860237601 CARTON in 1 BLISTER PACK (43386-237-60) / 4 SPRAY, METERED in 1 CARTON (43386-237-70)Marketed from Jan 29, 2024

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)
Cyanocobalamin
Generic name (nonproprietary)
cyanocobalamin
Active ingredients
Cyanocobalamin — 500 ug/1
Dosage form
Spray, Metered
Route
Nasal
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210629
Marketing start
Listing expires
Other FDA classes
Vitamin B 12 (Chemical structure)
Identifiers
Product ID 43386-237_bb7b94e1-b5cd-486f-9e34-38fc9595547aSPL ID bb7b94e1-b5cd-486f-9e34-38fc9595547aSPL set ID efb7dc02-f0c9-4537-9e23-b641c428068cRxCUI 861113UNII P6YC3EG204UPC 0343386237609
Pharmacologic class
Vitamin B12

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. Nasal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N443386023760 followed by a unit qualifier and the quantity

Package 43386-0237-60. 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)

Cyanocobalamin Nasal Spray is indicated for: Vitamin B12 maintenance therapy in adult patients with pernicious anemia who are in remission following intramuscular vitamin B12 therapy and who have no nervous system involvement Treatment of adult patients with dietary, drug-induced, or malabsorption-related vitamin B12 deficiency not due to pernicious anemia Prevention of vitamin B12 deficiency in adult patients with vitamin B12 requirements in excess of normal Limitations of Use: Cyanocobalamin Nasal Spray should not be used for the vitamin B12 absorption test (Schilling test). In patients with correctible or temporary causes of vitamin B12 deficiency, the benefit of continued long term use o…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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