NDC codes

FDA NDC Directory
Product NDC (as listed)50090-7203Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-7203Add 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
50090-7203-0500907203001 BOTTLE in 1 CARTON (50090-7203-0) / 25 TABLET in 1 BOTTLEMarketed from Aug 1, 2024

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)
Nitrostat
Generic name (nonproprietary)
nitroglycerin
Active ingredients
Nitroglycerin — .4 mg/1
Dosage form
Tablet
Route
Sublingual
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021134
Marketing start
Listing expires
Other FDA classes
Nitrates (Chemical structure)Vasodilation (Physiologic effect)
Identifiers
Product ID 50090-7203_d66cce9b-74ee-43e0-9e2e-e485be38209eSPL ID d66cce9b-74ee-43e0-9e2e-e485be38209eSPL set ID f7059ff7-bf74-48b4-811d-6eb1c26bfd8bRxCUI 198039, 207346UNII G59M7S0WS3
Pharmacologic class
Nitrate Vasodilator

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. Sublingual products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N450090720300 followed by a unit qualifier and the quantity

Package 50090-7203-00. 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)

NITROSTAT is indicated for the acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease. NITROSTAT is a nitrate vasodilator indicated for relief of an attack or prophylaxis of angina pectoris due to coronary artery disease. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021134

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

FDA NDC Directory listings under NDA 021134
ProductStrengthForm · routeLabelerProduct NDC
Nitrostatnitroglycerin tabletNitroglycerin .4 mg/1TabletSublingualHenry Schein, Inc.0404-9800
NitroglycerinNitroglycerin .6 mg/1TabletSublingualMylan Pharmaceuticals Inc.59762-0489
NitrostatnitroglycerinNitroglycerin .4 mg/1TabletSublingualProficient Rx LP63187-884
NitroglycerinNitroglycerin .4 mg/1TabletSublingualMylan Pharmaceuticals Inc.59762-3304
NitroglycerinNitroglycerin .3 mg/1TabletSublingualMylan Pharmaceuticals Inc.59762-4921
NitrostatnitroglycerinNitroglycerin .3 mg/1TabletSublingualViatris Specialty LLC58151-309
NitrostatnitroglycerinNitroglycerin .4 mg/1TabletSublingualViatris Specialty LLC58151-310
NitrostatnitroglycerinNitroglycerin .6 mg/1TabletSublingualViatris Specialty LLC58151-311

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