NDC codes

FDA NDC Directory
Product NDC (as listed)63629-2397Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-2397Add 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
63629-2397-1636292397015 PACKAGE in 1 CARTON (63629-2397-1) / 6 SUPPOSITORY in 1 PACKAGEMarketed from May 4, 2021

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)
Mesalamine
Generic name (nonproprietary)
mesalamine
Active ingredients
Mesalamine — 1000 mg/1
Dosage form
Suppository
Route
Rectal
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207448
Marketing start
Listing expires
Other FDA classes
Aminosalicylic Acids (Chemical structure)
Identifiers
Product ID 63629-2397_f36797f1-e0b0-43e2-8b3c-67090bbe76e8SPL ID f36797f1-e0b0-43e2-8b3c-67090bbe76e8SPL set ID 06792d20-d7e9-4b66-a4cb-cd0cf1a2db25RxCUI 248420UNII 4Q81I59GXC
Pharmacologic class
Aminosalicylate

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

N463629239701 followed by a unit qualifier and the quantity

Package 63629-2397-01. 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)

Mesalamine suppositories are indicated in adults for the treatment of mildly to moderately active ulcerative proctitis. Mesalamine suppositories are an aminosalicylate indicated in adults for the treatment of mildly to moderately active ulcerative proctitis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 207448

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

FDA NDC Directory listings under ANDA 207448
ProductStrengthForm · routeLabelerProduct NDC
MesalamineMesalamine 1000 mg/1SuppositoryRectalBryant Ranch Prepack72162-1804
MesalamineMesalamine 1000 mg/1SuppositoryRectalRising Pharma Holdings, Inc.64980-282

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