Montelukast NDC 63187-626

NDC codes

FDA NDC Directory

Product NDC (as listed)63187-626Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63187-0626Add 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
63187-626-30	63187062630	30 TABLET, CHEWABLE in 1 BOTTLE (63187-626-30)Marketed from Dec 1, 2018
63187-626-60	63187062660	60 TABLET, CHEWABLE in 1 BOTTLE (63187-626-60)Marketed from Dec 1, 2018
63187-626-90	63187062690	90 TABLET, CHEWABLE in 1 BOTTLE (63187-626-90)Marketed from Dec 1, 2018

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): Montelukast
Generic name (nonproprietary): montelukast
Active ingredients: Montelukast sodium — 5 mg/1
Dosage form: Tablet, Chewable
Route: Oral
Labeler: Proficient Rx LP
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 203037
Marketing start: Dec 1, 2014
Listing expires: Dec 31, 2026
Other FDA classes: Leukotriene Receptor Antagonists (Mechanism)
Identifiers: Product ID 63187-626_b54fe609-9c8c-4ca3-bd5c-8f3ab197f969SPL ID b54fe609-9c8c-4ca3-bd5c-8f3ab197f969SPL set ID 9705627c-283e-4743-b261-cfeb88d96e9bRxCUI 242438UNII U1O3J18SFL
Pharmacologic class: Leukotriene Receptor Antagonist

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

N463187062630 followed by a unit qualifier and the quantity

Package 63187-0626-30. 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

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