Alvimopan NDC 51407-870

NDC codes

FDA NDC Directory

Product NDC (as listed)51407-870Labeler and product segments. Claims need a package NDC.

Product NDC at billing width51407-0870Add 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
51407-870-33	51407087033	5 BLISTER PACK in 1 CARTON (51407-870-33) / 6 CAPSULE in 1 BLISTER PACKMarketed from Jan 12, 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): Alvimopan
Generic name (nonproprietary): alvimopan
Active ingredients: Alvimopan — 12 mg/1
Dosage form: Capsule
Route: Oral
Labeler: Golden State Medical Supply, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 217753
Marketing start: Aug 31, 2023
Listing expires: Dec 31, 2027
Other FDA classes: Opioid Antagonists (Mechanism)
Identifiers: Product ID 51407-870_5c29bf35-cdf8-db0f-e063-6294a90af6e6SPL ID 5c29bf35-cdf8-db0f-e063-6294a90af6e6
Pharmacologic class: Opioid Antagonist

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

N451407087033 followed by a unit qualifier and the quantity

Package 51407-0870-33. 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

The FDA listing for this product does not reference a label (SPL) set.

Other NDCs under ANDA 217753

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

FDA NDC Directory listings under ANDA 217753
Product	Strength	Form · route	Labeler	Product NDC
Alvimopan	Alvimopan 12 mg/1	CapsuleOral	Hikma Pharmaceuticals USA Inc.	0054-0668