NDC codes

FDA NDC Directory
Product NDC (as listed)51655-485Labeler and product segments. Claims need a package NDC.
Product NDC at billing width51655-0485Add 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
51655-485-265165504852690 TABLET in 1 BOTTLE, PLASTIC (51655-485-26)Marketed from Nov 23, 2020
51655-485-525165504855230 TABLET in 1 BOTTLE, PLASTIC (51655-485-52)Marketed from Apr 20, 2021

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)
Levothyroxine Sodium
Generic name (nonproprietary)
levothyroxine sodium
Active ingredients
Levothyroxine sodium — .137 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209713
Marketing start
Listing expires
Other FDA classes
Thyroxine (Chemical structure)
Identifiers
Product ID 51655-485_4a19de92-b6b6-9a77-e063-6394a90aae00SPL ID 4a19de92-b6b6-9a77-e063-6394a90aae00SPL set ID dac0af5d-622c-e18c-e053-2995a90a5739RxCUI 966270UNII 9J765S329G
Pharmacologic class
l-Thyroxine

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

N451655048526 followed by a unit qualifier and the quantity

Package 51655-0485-26. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 209713

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

FDA NDC Directory listings under ANDA 209713
ProductStrengthForm · routeLabelerProduct NDC
Levothyroxine SodiumLevothyroxine sodium .137 mg/1TabletOralAmerican Health Packaging60687-563
Levothyroxine SodiumLevothyroxine sodium .175 mg/1TabletOralMajor Pharmaceuticals0904-6957
Levothyroxine SodiumLevothyroxine sodium .088 mg/1TabletOralAmerican Health Packaging60687-486
Levothyroxine SodiumLevothyroxine sodium .088 mg/1TabletOralNorthwind Health Company, LLC51655-483
Levothyroxine SodiumLevothyroxine sodium .1 mg/1TabletOralAmerican Health Packaging60687-497
Levothyroxine SodiumLevothyroxine sodium .112 mg/1TabletOralMajor Pharmaceuticals0904-6954
Levothyroxine SodiumLevothyroxine sodium .15 mg/1TabletOralNorthwind Health Company, LLC51655-479
Levothyroxine SodiumLevothyroxine sodium .112 mg/1TabletOralAmerican Health Packaging60687-508
Levothyroxine SodiumLevothyroxine sodium .125 mg/1TabletOralNorthwind Health Company, LLC51655-484
Levothyroxine SodiumLevothyroxine sodium .025 mg/1TabletOralNorthwind Health Company, LLC51655-985
Levothyroxine SodiumLevothyroxine sodium .075 mg/1TabletOralNorthwind Health Company, LLC51655-989
Levothyroxine SodiumLevothyroxine sodium .025 mg/1TabletOralCardinal Health 107, LLC55154-3558
Levothyroxine SodiumLevothyroxine sodium .125 mg/1TabletOralMajor Pharmaceuticals0904-6955
Levothyroxine SodiumLevothyroxine sodium .125 mg/1TabletOralAmerican Health Packaging60687-519
Levothyroxine SodiumLevothyroxine sodium .15 mg/1TabletOralBryant Ranch Prepack71335-3116
Levothyroxine SodiumLevothyroxine sodium .175 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8793
Levothyroxine SodiumLevothyroxine sodium .05 mg/1TabletOralCardinal Health 107, LLC55154-3559
Levothyroxine SodiumLevothyroxine sodium .075 mg/1TabletOralCardinal Health 107, LLC55154-3560
Levothyroxine SodiumLevothyroxine sodium .112 mg/1TabletOralCoupler LLC67046-0290
Levothyroxine SodiumLevothyroxine sodium .075 mg/1TabletOralDIRECT RX72189-107

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