medroxyprogesterone acetate NDC 59762-0055

NDC codes

FDA NDC Directory

Product NDC (as listed)59762-0055Labeler and product segments. Claims need a package NDC.

Product NDC at billing width59762-0055Add 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
59762-0055-1	59762005501	100 TABLET in 1 BOTTLE (59762-0055-1)Marketed from Aug 20, 2018
59762-0055-2	59762005502	1000 TABLET in 1 BOTTLE (59762-0055-2)Marketed from Nov 2, 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): medroxyprogesterone acetate
Generic name (nonproprietary): medroxyprogesterone acetate
Active ingredients: Medroxyprogesterone acetate — 2.5 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Mylan Pharmaceuticals Inc.
Product type: Prescription drug
Marketing category: NDA authorized genericApplication NDA 011839
Marketing start: Aug 19, 2018
Listing expires: Dec 31, 2027
Other FDA classes: Progesterone Congeners (Chemical structure)
Identifiers: Product ID 59762-0055_602a8237-8197-41ce-bfaf-03c6340cbe07SPL ID 602a8237-8197-41ce-bfaf-03c6340cbe07SPL set ID 2627eb11-06bf-4a45-9172-094468e3ca07RxCUI 1000114, 1000135, 1000141UNII C2QI4IOI2GUPC 0359762005618, 0359762005519
Pharmacologic class: Progestin

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

N459762005501 followed by a unit qualifier and the quantity

Package 59762-0055-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under NDA 011839

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

FDA NDC Directory listings under NDA 011839
Product	Strength	Form · route	Labeler	Product NDC
Proveramedroxyprogesterone acetate	Medroxyprogesterone acetate 10 mg/1	TabletOral	Pharmacia & Upjohn Company LLC	0009-0051
medroxyprogesterone acetate	Medroxyprogesterone acetate 10 mg/1	TabletOral	Mylan Pharmaceuticals Inc.	59762-0056
medroxyprogesterone acetate	Medroxyprogesterone acetate 5 mg/1	TabletOral	Mylan Pharmaceuticals Inc.	59762-0058
Proveramedroxyprogesterone acetate	Medroxyprogesterone acetate 5 mg/1	TabletOral	Pharmacia & Upjohn Company LLC	0009-0287
Proveramedroxyprogesterone acetate	Medroxyprogesterone acetate 2.5 mg/1	TabletOral	Pharmacia & Upjohn Company LLC	0009-0065