Tacrolimus NDC 55154-4080

NDC codes

FDA NDC Directory

Product NDC (as listed)55154-4080Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55154-4080Add 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
55154-4080-8	55154408008	2000 CAPSULE in 1 BOTTLE (55154-4080-8)Marketed from Dec 23, 2020

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Tacrolimus
Generic name (nonproprietary): tacrolimus
Active ingredients: Tacrolimus — 1 mg/1
Dosage form: Capsule
Route: Oral
Labeler: Cardinal Health 107, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 212297
Marketing start: Dec 23, 2020
Listing expires: Dec 31, 2026
Other FDA classes: Calcineurin Inhibitors (Mechanism)
Identifiers: Product ID 55154-4080_ca8ee944-9f6f-4fe2-8d52-391d163301adSPL ID ca8ee944-9f6f-4fe2-8d52-391d163301adSPL set ID e898ee90-faae-42a8-b652-be1c8730d856RxCUI 198377UNII WM0HAQ4WNMUPC 0355154408081
Pharmacologic class: Calcineurin Inhibitor Immunosuppressant

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

N455154408008 followed by a unit qualifier and the quantity

Package 55154-4080-08. 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 212297

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

FDA NDC Directory listings under ANDA 212297
Product	Strength	Form · route	Labeler	Product NDC
Tacrolimus	Tacrolimus .5 mg/1	CapsuleOral	Biocon Pharma Inc.	70377-014
Tacrolimus	Tacrolimus 1 mg/1	CapsuleOral	Biocon Pharma Inc.	70377-015
Tacrolimus	Tacrolimus 5 mg/1	CapsuleOral	Biocon Pharma Inc.	70377-016