NDC codes

FDA NDC Directory
Product NDC (as listed)57664-058Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57664-0058Add 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
57664-058-885766400588857664005888100 TABLET in 1 BOTTLE (57664-058-88)Marketed from Jun 15, 2024

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)
Levorphanol Tartrate
Generic name (nonproprietary)
levorphanol tartrate
Active ingredients
Levorphanol tartrate — 3 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Sun Pharmaceutical Industries, Inc.NDC labeler code 57664
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 213906
Marketing start
Listing expires
DEA schedule
CII
Other FDA classes
Full Opioid Agonists (Mechanism)
Identifiers
Product ID 57664-058_48471dc2-bdd9-2263-e063-6294a90a9e03SPL ID 48471dc2-bdd9-2263-e063-6294a90a9e03SPL set ID 438cf3ea-04fe-4626-9f0f-adcda7633651RxCUI 197873, 2058845UNII 04WQU6T9QIUPC 0357664058886
Pharmacologic class
Opioid Agonist

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

N457664005888 followed by a unit qualifier and the quantity

Package 57664-0058-88. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Levorphanol tartrate tablets are indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Limitations of Use Because of the risks of addiction, abuse, misuse, overdose, and death which can occur at any dosage or duration, and persist over the course of therapy [see WARNINGS], reserve opioid analgesics, including levorphanol tartrate tablets, for use in patients for whom alternative treatment options are ineffective, not tolerated, or would be otherwise inadequate to provide sufficient management of pain.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 57664-058

What is NDC 57664-058?
57664-058 is the product NDC for Levorphanol Tartrate, Levorphanol tartrate 3 mg/1 tablet, listed with the FDA by Sun Pharmaceutical Industries, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Levorphanol Tartrate.
What is the active ingredient?
Levorphanol tartrate.
Who is the labeler?
Sun Pharmaceutical Industries, Inc., NDC labeler code 57664. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Levorphanol Tartrate?
9 other product NDCs are listed under this name. See all Levorphanol Tartrate NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Levorphanol Tartrate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Levorphanol TartrateLevorphanol tartrate 2 mg/1TabletOralACERTIS PHARMACEUTICALS, LLC72989-41772989-0417-10
Levorphanol TartrateLevorphanol tartrate 2 mg/1TabletOralSun Pharmaceutical Industries, Inc.57664-76257664-0762-88
Levorphanol TartrateLevorphanol tartrate 2 mg/1TabletOralVirtus Pharmaceuticals, LLC69543-41769543-0417-10
Levorphanol TartrateLevorphanol tartrate 2 mg/1TabletOralBryant Ranch Prepack72162-230972162-2309-01
Levorphanol TartrateLevorphanol tartrate 3 mg/1TabletOralLannett Company, Inc.0527-323700527-3237-37
Levorphanol TartrateLevorphanol tartrate 2 mg/1TabletOralSpecGx LLC0406-222400406-2224-01
Levorphanol TartrateLevorphanol tartrate 2 mg/1TabletOralLannett Company, Inc.0527-323600527-3236-37
Levorphanol TartrateLevorphanol tartrate 2 mg/1TabletOralBryant Ranch Prepack63629-209363629-2093-01
Levorphanol TartrateLevorphanol tartrate 2 mg/1TabletOralHikma Pharmaceuticals USA Inc.0054-043800054-0438-25

Other NDCs under ANDA 213906

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

FDA NDC Directory listings under ANDA 213906
ProductStrengthForm · routeLabelerProduct NDC
Levorphanol TartrateLevorphanol tartrate 2 mg/1TabletOralSun Pharmaceutical Industries, Inc.57664-762

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