NDC codes

FDA NDC Directory
Product NDC (as listed)51655-985Labeler and product segments. Claims need a package NDC.
Product NDC at billing width51655-0985Add 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
51655-985-525165509855230 TABLET in 1 BOTTLE, PLASTIC (51655-985-52)Marketed from May 4, 2022

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 — .025 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 51655-985_4a28800d-14f1-d841-e063-6394a90a692bSPL ID 4a28800d-14f1-d841-e063-6394a90a692bSPL set ID e0503b8c-7eb7-269e-e053-2995a90a1bcaRxCUI 966220UNII 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

N451655098552 followed by a unit qualifier and the quantity

Package 51655-0985-52. 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)

Hypothyroidism Levothyroxine sodium tablets are indicated in adult and pediatric patients, including neonates, as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression Levothyroxine sodium tablets are indicated in adult and pediatric patients, including neonates, as an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. Limitations of Use Levothyroxine sodium tablets are not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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 .137 mg/1TabletOralNorthwind Health Company, LLC51655-485
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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