NDC codes

FDA NDC Directory
Product NDC (as listed)58914-790Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58914-0790Add 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
58914-790-01589140790014 TABLET, FILM COATED in 1 BLISTER PACK (58914-790-01)Marketed from Dec 10, 1997 · Sample package
58914-790-1058914079010100 TABLET, FILM COATED in 1 BOTTLE (58914-790-10)Marketed from Dec 10, 1997

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)
Urso Forte
Generic name (nonproprietary)
ursodiol
Active ingredients
Ursodiol — 500 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Allergan, Inc.NDC labeler code 58914
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020675
Marketing start
Listing expires
Other FDA classes
Bile Acids and Salts (Chemical structure)
Identifiers
Product ID 58914-790_06904c03-cea9-4532-8e27-7f2246be613bSPL ID 06904c03-cea9-4532-8e27-7f2246be613bSPL set ID e8fc4fc2-fe5c-4cba-b6e0-5ceaf2157a61RxCUI 858733, 858735, 858751, 858752UNII 724L30Y2QR
Pharmacologic class
Bile Acid

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

N458914079001 followed by a unit qualifier and the quantity

Package 58914-0790-01. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

URSO 250 and URSO Forte (ursodiol) tablets are indicated for the treatment of patients with primary biliary cholangitis (PBC). URSO 250 and URSO Forte (ursodiol) tablets are bile acids indicated for the treatment of patients with primary biliary cholangitis. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58914-790

What is NDC 58914-790?
58914-790 is the product NDC for Urso Forte (ursodiol), Ursodiol 500 mg/1 tablet, film coated, listed with the FDA by Allergan, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Urso Forte (Ursodiol).
What is the active ingredient?
Ursodiol.
Who is the labeler?
Allergan, Inc., NDC labeler code 58914. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Urso Forte?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under NDA 020675

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

FDA NDC Directory listings under NDA 020675
ProductStrengthForm · routeLabelerProduct NDC
Urso 250ursodiolUrsodiol 250 mg/1Tablet, Film coatedOralAllergan, Inc.58914-785

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