Montelukast Sodium NDC 55111-725

NDC codes

FDA NDC Directory

Product NDC (as listed)55111-725Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55111-0725Add 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
55111-725-01	55111072501	100 TABLET, COATED in 1 BOTTLE (55111-725-01)Marketed from Aug 6, 2012
55111-725-10	55111072510	1000 TABLET, COATED in 1 BOTTLE (55111-725-10)Marketed from Aug 6, 2012
55111-725-30	55111072530	30 TABLET, COATED in 1 BOTTLE (55111-725-30)Marketed from Aug 6, 2012
55111-725-78	55111072578	10 BLISTER PACK in 1 CARTON (55111-725-78) / 10 TABLET, COATED in 1 BLISTER PACK (55111-725-79)Marketed from Aug 6, 2012
55111-725-90	55111072590	90 TABLET, COATED in 1 BOTTLE (55111-725-90)Marketed from Aug 6, 2012

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): Montelukast Sodium
Generic name (nonproprietary): montelukast sodium
Active ingredients: Montelukast sodium — 10 mg/1
Dosage form: Tablet, Coated
Route: Oral
Labeler: Dr.Reddy's Laboratories Limited
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 201582
Marketing start: Aug 6, 2012
Listing expires: Dec 31, 2026
Other FDA classes: Leukotriene Receptor Antagonists (Mechanism)
Identifiers: Product ID 55111-725_8bc013e8-5324-099d-e603-d78012b126bdSPL ID 8bc013e8-5324-099d-e603-d78012b126bdSPL set ID 3d4451a9-d73d-b9de-68ec-853bfeff6e4bRxCUI 200224, 242438, 311759UNII U1O3J18SFL
Pharmacologic class: Leukotriene 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

N455111072501 followed by a unit qualifier and the quantity

Package 55111-0725-01. 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

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