Prescription drug · NDA
Relpax (Eletriptan hydrobromide) NDC 58151-367
Eletriptan hydrobromide 20 mg/1 · Tablet · Oral · Viatris Specialty LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 58151-367-56 | 58151036756 | 6 BLISTER PACK in 1 CARTON (58151-367-56) / 1 TABLET in 1 BLISTER PACKMarketed from May 8, 2025 |
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)
- Relpax
- Generic name (nonproprietary)
- eletriptan hydrobromide
- Active ingredients
- Eletriptan hydrobromide — 20 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- Viatris Specialty LLCNDC labeler code 58151
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 021016
- Marketing start
- Listing expires
- Other FDA classes
- Serotonin 1b Receptor Agonists (Mechanism)Serotonin 1d Receptor Agonists (Mechanism)
- Identifiers
- Product ID 58151-367_ca50a848-b287-47b6-980b-5729d4582893SPL ID ca50a848-b287-47b6-980b-5729d4582893SPL set ID 2a501dbd-3ea8-47e4-9fcb-07035b8c8c9eRxCUI 359493, 359494, 404443, 404444UNII M41W832TA3
- Pharmacologic class
- Serotonin-1b and Serotonin-1d Receptor 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
N458151036756followed by a unit qualifier and the quantityPackage 58151-0367-56. 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)
RELPAX is indicated for the acute treatment of migraine with or without aura in adults. Limitations of Use: • Use only if a clear diagnosis of migraine has been established. If a patient has no response to the first migraine attack treated with RELPAX, reconsider the diagnosis of migraine before RELPAX is administered to treat any subsequent attacks. • RELPAX is not intended for the prevention of migraine attacks. • Safety and effectiveness of RELPAX have not been established for cluster headache. RELPAX is a serotonin (5-HT 1B/1D ) receptor agonist (triptan) indicated for the acute treatment of migraine with or without aura in adults ( 1 ) Limitations of Use: • Use only after a clear diagno…
Excerpt only. Read the full label for complete information.
About NDC 58151-367
- What is NDC 58151-367?
- 58151-367 is the product NDC for Relpax (eletriptan hydrobromide), Eletriptan hydrobromide 20 mg/1 tablet, listed with the FDA by Viatris Specialty LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Relpax (Eletriptan hydrobromide).
- What is the active ingredient?
- Eletriptan hydrobromide.
- Who is the labeler?
- Viatris Specialty LLC, NDC labeler code 58151. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Relpax?
- 1 other product NDC are listed under this name. See all Relpax NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Relpax products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Relpaxeletriptan hydrobromide | Eletriptan hydrobromide 40 mg/1 | TabletOral | Viatris Specialty LLC | 58151-368 | 58151-0368-5658151-0368-96 |
Other NDCs under NDA 021016
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Relpaxeletriptan hydrobromide | Eletriptan hydrobromide 40 mg/1 | TabletOral | Viatris Specialty LLC | 58151-368 |