NDC codes

FDA NDC Directory
Product NDC (as listed)50090-7861Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-7861Add 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
50090-7861-0500907861001 BLISTER PACK in 1 CARTON (50090-7861-0) / 1 KIT in 1 BLISTER PACKMarketed from Jan 21, 2026

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-Estarylla
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 090793
Marketing start
Listing expires
Identifiers
Product ID 50090-7861_0982240b-c414-46dd-8769-577d42435404SPL ID 0982240b-c414-46dd-8769-577d42435404SPL set ID f7f7c073-48e0-4065-970b-8103d76b6eb0RxCUI 240128, 406396, 687424, 748797, 749784, 1369770

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

N450090786100 followed by a unit qualifier and the quantity

Package 50090-7861-00. 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-Estarylla (norgestimate and ethinyl estrdiol tablets) is a combinations of norgestimate, a progestin, and ethinyl estradiol, and estrogen, indicated for use by females of reproductive potential to prevent pregnancy. ( 1.1 ) Tri-Estarylla is indicated for the treatment of moderate acne vulgaris in females at least 15 years of age, who have no known contraindications to oral contraceptive therapy and have achieved menarche. Tri-Estarylla should be used for the treatment of acne only if the patient desires an oral contraceptive for birth control. ( 1.2 ) 1.1 Oral Contraceptive Tri-Estarylla (norgestimate and ethinyl estradiol) Tablets are indicated for use by females of reproductive potenti…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-7861

What is NDC 50090-7861?
50090-7861 is the product NDC for Tri-Estarylla 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-Estarylla (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-Estarylla?
2 other product NDCs are listed under this name. See all Tri-Estarylla 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-Estarylla NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Tri-Estaryllanorgestimate and ethinyl estradiol—KitBryant Ranch Prepack63629-235063629-2350-01
Tri-Estaryllanorgestimate and ethinyl estradiol—KitXiromed, LLC.70700-12170700-0121-85

Other NDCs under ANDA 090793

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

FDA NDC Directory listings under ANDA 090793
ProductStrengthForm · routeLabelerProduct NDC
norgestimate and ethinyl estradiol—KitAvKARE42291-590
Tri-Estaryllanorgestimate and ethinyl estradiol—KitBryant Ranch Prepack63629-2350
Tri-Estaryllanorgestimate and ethinyl estradiol—KitXiromed, LLC.70700-121

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