NDC codes

FDA NDC Directory
Product NDC (as listed)50090-2429Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-2429Add 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
50090-2429-0500902429001 KIT in 1 KIT (50090-2429-0)Marketed from Jan 8, 2020

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)
Tri-Lo-Marzia
Generic name (nonproprietary)
norgestimate and ethinyl estradiol
Dosage form
Kit
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 200541
Marketing start
Listing expires
Identifiers
Product ID 50090-2429_8e07b96d-d95a-410e-a9b2-4644c9d3b439SPL ID 8e07b96d-d95a-410e-a9b2-4644c9d3b439SPL set ID 4d888008-cc14-4291-b384-0d482f48eb08RxCUI 578732, 748797, 749155, 749156, 749157, 1305757

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N450090242900 followed by a unit qualifier and the quantity

Package 50090-2429-00. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

Tri-Lo-Marzia is an estrogen/progestin COC, indicated for use by women to prevent pregnancy. ( 1.1 ) 1.1 Oral Contraception Tri-Lo-Marzia™ Tablets are indicated for use by females of reproductive potential to prevent pregnancy [see CLINICAL STUDIES ( 14 )].

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-2429

What is NDC 50090-2429?
50090-2429 is the product NDC for Tri-Lo-Marzia kit, 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?
Tri-Lo-Marzia (Norgestimate and ethinyl estradiol).
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 Tri-Lo-Marzia?
2 other product NDCs are listed under this name. See all Tri-Lo-Marzia 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 Tri-Lo-Marzia NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Tri-Lo-Marzianorgestimate and ethinyl estradiol—KitLupin Pharmaceuticals, Inc.68180-83768180-0837-73
Tri-Lo-Marzianorgestimate and ethinyl estradiol—KitProficient Rx LP63187-75463187-0754-28

Other NDCs under ANDA 200541

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

FDA NDC Directory listings under ANDA 200541
ProductStrengthForm · routeLabelerProduct NDC
norgestimate and ethinyl estradiol—KitPD-Rx Pharmaceuticals, Inc.72789-435
Tri-Lo-Marzianorgestimate and ethinyl estradiol—KitProficient Rx LP63187-754
Tri-Lo-Marzianorgestimate and ethinyl estradiol—KitLupin Pharmaceuticals, Inc.68180-837

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