NDC codes

FDA NDC Directory
Product NDC (as listed)49702-224Labeler and product segments. Claims need a package NDC.
Product NDC at billing width49702-0224Add 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
49702-224-184970202241860 TABLET, FILM COATED in 1 BOTTLE (49702-224-18)Marketed from May 16, 2011

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)
Selzentry
Generic name (nonproprietary)
maraviroc
Active ingredients
Maraviroc — 300 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022128
Marketing start
Listing expires
Other FDA classes
Chemokine Co-receptor 5 Antagonists (Mechanism)
Identifiers
Product ID 49702-224_bd98c45d-446e-4023-882c-9c36d612f5a5SPL ID bd98c45d-446e-4023-882c-9c36d612f5a5SPL set ID 46f30ac5-c96b-429e-976d-8c5ee1c0761bRxCUI 728223, 728225, 729201, 729203, 1857921, 1857925UNII MD6P741W8A
Pharmacologic class
CCR5 Co-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

N449702022418 followed by a unit qualifier and the quantity

Package 49702-0224-18. 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)

SELZENTRY is indicated in combination with other antiretroviral agents for the treatment of only CCR5‑tropic human immunodeficiency virus type 1 (HIV‑1) infection in adult and pediatric patients weighing at least 2 kg. Limitations of Use • SELZENTRY is not recommended in patients with dual/mixed- or CXCR4-tropic HIV-1 [see Microbiology ( 12.4 )]. SELZENTRY is a CCR5 co-receptor antagonist indicated in combination with other antiretroviral agents for the treatment of only CCR5-tropic HIV-1 infection in adults and pediatric patients weighing at least 2 kg. ( 1 ) Limitations of Use: • Not recommended in patients with dual/mixed- or CXCR4-tropic HIV-1. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 022128

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

FDA NDC Directory listings under NDA 022128
ProductStrengthForm · routeLabelerProduct NDC
SelzentrymaravirocMaraviroc 150 mg/1Tablet, Film coatedOralViiV Healthcare Company49702-223
SelzentrymaravirocMaraviroc 150 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-6238

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