NDC codes

FDA NDC Directory
Product NDC (as listed)55741-005Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55741-0005Add 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
55741-005-06557410005066 BLISTER PACK in 1 CARTON (55741-005-06) / 1 KIT in 1 BLISTER PACKMarketed from Feb 13, 2026
55741-005-28557410005281 BLISTER PACK in 1 PACKET (55741-005-28) / 1 KIT in 1 BLISTER PACKMarketed from Feb 13, 2026

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)
Lutera
Generic name (nonproprietary)
levonorgestrel and ethinyl estradiol
Dosage form
Kit
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090721
Marketing start
Listing expires
Identifiers
Product ID 55741-005_eb48cc50-744a-4e77-b520-18a9522530aeSPL ID eb48cc50-744a-4e77-b520-18a9522530aeSPL set ID 47fc432b-2259-47d2-bba9-5e3aae583990RxCUI 242297, 748797, 748868, 751884

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N455741000506 followed by a unit qualifier and the quantity

Package 55741-0005-06. 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 .

Indications (excerpt from the label)

INDICATIONS AND USAGE Lutera is indicated for use by females of reproductive potential to prevent pregnancy. Limitations of use: The efficacy of Lutera in women with a body mass index (BMI) of > 35 kg/m 2 has not been adequately evaluated. In a clinical trial with levonorgestrel and ethinyl estradiol tablets, 1,477 subjects had 7,720 cycles of use and a total of 5 pregnancies were reported. This represents an overall pregnancy rate of 0.84 per 100 woman-years. This rate includes patients who did not take the drug correctly. One or more pills were missed during 1,479 (18.8%) of the 7,870 cycles; thus all tablets were taken during 6,391 (81.2%) of the 7,870 cycles. Of the total 7,870 cycles, a…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090721

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

FDA NDC Directory listings under ANDA 090721
ProductStrengthForm · routeLabelerProduct NDC
Falminalevonorgestrel and ethinyl estradiol—KitNorthstar Rx LLC16714-359

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