Lotronex (alosetron hydrochloride) NDC 54766-894

NDC codes

FDA NDC Directory

Product NDC (as listed)54766-894Labeler and product segments. Claims need a package NDC.

Product NDC at billing width54766-0894Add 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
54766-894-03	54766089403	30 TABLET in 1 BOTTLE (54766-894-03)Marketed from Jul 11, 2016

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): Lotronex
Generic name (nonproprietary): alosetron hydrochloride
Active ingredients: Alosetron hydrochloride — .5 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Sebela Pharmaceuticals Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 021107
Marketing start: Jul 11, 2016
Listing expires: Dec 31, 2027
Other FDA classes: Serotonin 3 Receptor Antagonists (Mechanism)
Identifiers: Product ID 54766-894_557ed953-bb9c-8e24-e063-6394a90a525fSPL ID 557ed953-bb9c-8e24-e063-6394a90a525fSPL set ID 35cbb9d5-639b-207a-e054-00144ff88e88RxCUI 259306, 261362, 403975, 540181UNII 2F5R1A46YWUPC 0354766894039, 0354766895036
Pharmacologic class: Serotonin-3 Receptor 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

N454766089403 followed by a unit qualifier and the quantity

Package 54766-0894-03. 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.