NDC codes

FDA NDC Directory
Product NDC (as listed)50090-6631Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-6631Add 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
50090-6631-05009066310090 TABLET in 1 BOTTLE (50090-6631-0)Marketed from Aug 25, 2023

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
Generic name (nonproprietary)
ezetimibe
Active ingredients
Ezetimibe — 10 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209838
Marketing start
Listing expires
Other FDA classes
Decreased Cholesterol Absorption (Physiologic effect)
Identifiers
Product ID 50090-6631_d3bd72a5-a1e9-41e0-98bd-9b2529f10da4SPL ID d3bd72a5-a1e9-41e0-98bd-9b2529f10da4SPL set ID a1cc2018-72a3-48bc-90de-c460f224cf5aRxCUI 349556UNII EOR26LQQ24
Pharmacologic class
Dietary Cholesterol Absorption 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

N450090663100 followed by a unit qualifier and the quantity

Package 50090-6631-00. 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 .

Indications (excerpt from the label)

Ezetimibe tablets are indicated: In combination with a statin, or alone when additional low-density lipoprotein cholesterol (LDL-C) lowering therapy is not possible, as an adjunct to diet to reduce elevated LDL-C in adults with primary hyperlipidemia, including heterozygous familial hypercholesterolemia (HeFH). In combination with a statin as an adjunct to diet to reduce elevated LDL-C in pediatric patients 10 years of age and older with HeFH. In combination with fenofibrate as an adjunct to diet to reduce elevated LDL-C in adults with mixed hyperlipidemia. In combination with a statin, and other LDL-C lowering therapies, to reduce elevated LDL-C levels in adults and in pediatric patients 10…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209838

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

FDA NDC Directory listings under ANDA 209838
ProductStrengthForm · routeLabelerProduct NDC
EzetimibeEzetimibe 10 mg/1TabletOralBryant Ranch Prepack71335-2123
EzetimibeEzetimibe 10 mg/1TabletOralNorthStar Rx LLC16714-813
EzetimibeEzetimibe 10 mg/1TabletOralA-S Medication Solutions50090-7099
EzetimibeEzetimibe 10 mg/1TabletOralA-S Medication Solutions50090-3422
EzetimibeEzetimibe 10 mg/1TabletOralAurobindo Pharma Limited59651-052
EzetimibeEzetimibe 10 mg/1TabletOralProficient Rx LP82804-064
EzetimibeEzetimibe 10 mg/1TabletOralA-S Medication Solutions50090-6630

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