NDC codes

FDA NDC Directory
Product NDC (as listed)54288-140Labeler and product segments. Claims need a package NDC.
Product NDC at billing width54288-0140Add 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
54288-140-01542880140011 CARTON in 1 CARTON (54288-140-01) / 5 mL in 1 CARTONMarketed from Jul 13, 2020

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)
Levofloxacin
Generic name (nonproprietary)
levofloxacin
Active ingredients
Levofloxacin — 15 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 205600
Marketing start
Listing expires
Identifiers
Product ID 54288-140_4c9a6374-9e83-420d-bc29-20170bfbc6e1SPL ID 4c9a6374-9e83-420d-bc29-20170bfbc6e1SPL set ID b6d9740b-2f9d-4f1c-bc9b-4c2150b22f10RxCUI 545118UNII 6GNT3Y5LMFUPC 0354288140010

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. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N454288014001 followed by a unit qualifier and the quantity

Package 54288-0140-01. 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

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