NDC codes

FDA NDC Directory
Product NDC (as listed)50090-1085Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-1085Add 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
50090-1085-05009010850060 TABLET, FILM COATED in 1 BOTTLE (50090-1085-0)Marketed from Nov 28, 2014

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Isentress
Generic name (nonproprietary)
raltegravir
Active ingredients
Raltegravir potassium — 400 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022145
Marketing start
Listing expires
Other FDA classes
HIV Integrase Inhibitors (Mechanism)
Identifiers
Product ID 50090-1085_03efaa04-a8b6-47a3-850c-34c312f3c7a6SPL ID 03efaa04-a8b6-47a3-850c-34c312f3c7a6
Pharmacologic class
Human Immunodeficiency Virus Integrase Strand Transfer Inhibitor

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

N450090108500 followed by a unit qualifier and the quantity

Package 50090-1085-00. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 50090-1085

What is NDC 50090-1085?
50090-1085 is the product NDC for Isentress (raltegravir), Raltegravir potassium 400 mg/1 tablet, film coated, listed with the FDA by A-S Medication Solutions. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Isentress (Raltegravir).
What is the active ingredient?
Raltegravir potassium.
Who is the labeler?
A-S Medication Solutions, NDC labeler code 50090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Isentress?
7 other product NDCs are listed under this name. See all Isentress 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 Isentress NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
IsentressraltegravirRaltegravir potassium 600 mg/1Tablet, Film coatedOralMerck Sharp & Dohme LLC0006-308000006-3080-01
IsentressraltegravirRaltegravir potassium 100 mg/1Granule, For suspensionOralMerck Sharp & Dohme LLC0006-360300006-3603-6000006-3603-61
IsentressraltegravirRaltegravir potassium 25 mg/1Tablet, ChewableOralMerck Sharp & Dohme LLC0006-047300006-0473-61
IsentressraltegravirRaltegravir potassium 100 mg/1Tablet, ChewableOralMerck Sharp & Dohme LLC0006-047700006-0477-61
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralMerck Sharp & Dohme LLC0006-022700006-0227-61
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-211368071-2113-06
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralProficient Rx LP71205-77771205-0777-0671205-0777-1471205-0777-30+2 more

Other NDCs under NDA 022145

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

FDA NDC Directory listings under NDA 022145
ProductStrengthForm · routeLabelerProduct NDC
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralMerck Sharp & Dohme LLC0006-0227
IsentressraltegravirRaltegravir potassium 600 mg/1Tablet, Film coatedOralMerck Sharp & Dohme LLC0006-3080
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-2113
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralProficient Rx LP71205-777

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