Brimonidine Tartrate NDC 61314-143

NDC codes

FDA NDC Directory

Product NDC (as listed)61314-143Labeler and product segments. Claims need a package NDC.

Product NDC at billing width61314-0143Add 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
61314-143-05	61314014305	1 BOTTLE in 1 CARTON (61314-143-05) / 5 mL in 1 BOTTLEMarketed from Sep 17, 2003
61314-143-10	61314014310	1 BOTTLE in 1 CARTON (61314-143-10) / 10 mL in 1 BOTTLEMarketed from Sep 17, 2003
61314-143-15	61314014315	1 BOTTLE in 1 CARTON (61314-143-15) / 15 mL in 1 BOTTLEMarketed from Sep 17, 2003

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): Brimonidine Tartrate
Generic name (nonproprietary): brimonidine tartrate
Active ingredients: Brimonidine tartrate — 2 mg/mL
Dosage form: Solution
Route: Ophthalmic
Labeler: Sandoz Inc
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 076254
Marketing start: Sep 17, 2003
Listing expires: Dec 31, 2026
Other FDA classes: Adrenergic alpha-Agonists (Mechanism)
Identifiers: Product ID 61314-143_d30b64a2-52a4-4c29-bb4e-64cd0444127bSPL ID d30b64a2-52a4-4c29-bb4e-64cd0444127bSPL set ID dfd85672-fa4b-40e3-ac9c-81b8d9e4ffdeRxCUI 861200UNII 4S9CL2DY2H
Pharmacologic class: alpha-Adrenergic 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. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N461314014305 followed by a unit qualifier and the quantity

Package 61314-0143-05. 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.