Miconazole 3 Combination Pack NDC 59779-773

NDC codes

FDA NDC Directory

Product NDC (as listed)59779-773Labeler and product segments. Claims need a package NDC.

Product NDC at billing width59779-0773Add 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
59779-773-43	59779077343	1 KIT in 1 PACKAGE, COMBINATION (59779-773-43) * 3 SUPPOSITORY in 1 BLISTER PACK * 9 g in 1 TUBEMarketed from Mar 1, 2001

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): Miconazole 3 Combination Pack
Generic name (nonproprietary): miconazole nitrate
Dosage form: Kit
Labeler: CVS Pharmacy
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 074926
Marketing start: Mar 1, 2001
Listing expires: Dec 31, 2026
Identifiers: Product ID 59779-773_a19a2156-8c0e-4381-8599-1a5557569a9aSPL ID a19a2156-8c0e-4381-8599-1a5557569a9aSPL set ID 65c99592-7c11-41fc-8296-aad0a8f39926RxCUI 992765, 992766, 998540

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N459779077343 followed by a unit qualifier and the quantity

Package 59779-0773-43. 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 Jan 18, 2023.

Indications (excerpt from the label)

Uses treats vaginal yeast infections relieves external itching and irritation due to a vaginal yeast infection

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 074926

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

FDA NDC Directory listings under ANDA 074926
Product	Strength	Form · route	Labeler	Product NDC
MICONAZOLE 3 COMBINATION PACK (miconazole nitrate) kitmiconazole nitrate	—	Kit	Cosette Pharmaceuticals, Inc.	0713-0593
Miconazole 3 Combination Packmiconazole nitrate	—	Kit	Chain Drug Consortium, LLC	68016-731
Miconazole 3 Combination Packmiconazole nitrate	—	Kit	EQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)	49035-345

Miconazole 3 Combination Pack (miconazole nitrate) NDC 59779-773