NDC codes

FDA NDC Directory
Product NDC (as listed)50405-301Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50405-0301Add 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
50405-301-015040503010130 TABLET in 1 BOTTLE (50405-301-01)Marketed from May 27, 2024
50405-301-0250405030102120 TABLET in 1 BOTTLE (50405-301-02)Marketed from May 27, 2024
50405-301-0350405030103500 TABLET in 1 BOTTLE (50405-301-03)Marketed from May 27, 2024

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Levetiracetam
Generic name (nonproprietary)
levetiracetam
Active ingredients
Levetiracetam — 500 mg/1
Dosage form
Tablet
Route
Oral
Labeler
SOHM, Inc.
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 079042
Marketing start
Listing expires
Other FDA classes
Decreased Central Nervous System Disorganized Electrical Activity (Physiologic effect)
Identifiers
Product ID 50405-301_8d5b3de5-1dce-43e9-9858-c0439034f86aSPL ID 8d5b3de5-1dce-43e9-9858-c0439034f86aSPL set ID 0a688786-879b-4e27-a46a-5c86bbfa1292RxCUI 311288, 311289, 311290, 387003UNII 44YRR34555UPC 0350405301029, 0350405302026, 0350405300022

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

N450405030101 followed by a unit qualifier and the quantity

Package 50405-0301-01. 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)

Levetiracetam tablets are indicated for the treatment of partial-onset seizures in patients 1 month of age and older (1.1) Levetiracetam tablets are indicated for adjunctive therapy for the treatment of: Myoclonic seizures in patients 12 years of age and older with juvenile myoclonic epilepsy (1.2) Primary generalized tonic-clonic seizures in patients 6 years of age and older with idiopathic generalized epilepsy (1.3) 1.1 Partial-Onset Seizures Levetiracetam tablets are indicated for the treatment of partial-onset seizures in patients 1 month of age and older. 1.2 Myoclonic Seizures in Patients with Juvenile Myoclonic Epilepsy Levetiracetam tablets are indicated as adjunctive therapy for the…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 079042

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

FDA NDC Directory listings under ANDA 079042
ProductStrengthForm · routeLabelerProduct NDC
LevetiracetamLevetiracetam 1000 mg/1TabletOralSOHM, Inc.50405-303
LevetiracetamLevetiracetam 250 mg/1TabletOralSOHM, Inc.50405-300
LevetiracetamLevetiracetam 750 mg/1TabletOralSOHM, Inc.50405-302

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