NDC codes

FDA NDC Directory
Product NDC (as listed)59762-1350Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59762-1350Add 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
59762-1350-159762135001100 CAPSULE in 1 BOTTLE (59762-1350-1)Marketed from Apr 7, 2014

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)
Rifabutin
Generic name (nonproprietary)
rifabutin
Active ingredients
Rifabutin — 150 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 050689
Marketing start
Listing expires
Other FDA classes
Rifamycins (Chemical structure)
Identifiers
Product ID 59762-1350_acc8cbc0-0202-43e3-a1c2-cc6d960dbb37SPL ID acc8cbc0-0202-43e3-a1c2-cc6d960dbb37SPL set ID c2026b67-4755-4236-96b6-a6b5e7399707RxCUI 198200UNII 1W306TDA6SUPC 0359762135018
Pharmacologic class
Rifamycin Antimycobacterial

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

N459762135001 followed by a unit qualifier and the quantity

Package 59762-1350-01. 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)

INDICATIONS AND USAGE Rifabutin capsules are indicated for the prevention of disseminated Mycobacterium avium complex (MAC) disease in patients with advanced HIV infection.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 050689

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

FDA NDC Directory listings under NDA 050689
ProductStrengthForm · routeLabelerProduct NDC
RifabutinRifabutin 150 mg/1CapsuleOralREMEDYREPACK INC.70518-4254

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