Ezetimibe and Simvastatin NDC 50090-4772

NDC codes

FDA NDC Directory

Product NDC (as listed)50090-4772Labeler and product segments. Claims need a package NDC.

Product NDC at billing width50090-4772Add 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 NDC	11-digit (billing)	Package	Copy
50090-4772-0	50090477200	90 TABLET in 1 BOTTLE (50090-4772-0)Marketed from Dec 2, 2019

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): Ezetimibe and Simvastatin
Generic name (nonproprietary): ezetimibe and simvastatin
Active ingredients: Ezetimibe — 10 mg/1Simvastatin — 40 mg/1
Dosage form: Tablet
Route: Oral
Labeler: A-S Medication Solutions
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 209222
Marketing start: Dec 24, 2017
Listing expires: Dec 31, 2027
Other FDA classes: Decreased Cholesterol Absorption (Physiologic effect)Hydroxymethylglutaryl-CoA Reductase Inhibitors (Mechanism)
Identifiers: Product ID 50090-4772_c47669cc-ed22-4780-804f-d5859d01dff9SPL ID c47669cc-ed22-4780-804f-d5859d01dff9SPL set ID 2ce219a2-1eeb-4ece-bb87-3810e593ca51RxCUI 476350UNII EOR26LQQ24, AGG2FN16EV
Pharmacologic class: Dietary Cholesterol Absorption Inhibitor; HMG-CoA Reductase 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

N450090477200 followed by a unit qualifier and the quantity

Package 50090-4772-00. 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

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