NDC codes

FDA NDC Directory
Product NDC (as listed)63629-8679Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-8679Add 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
63629-8679-1636298679014 CARTON in 1 KIT (63629-8679-1) / 1 KIT in 1 CARTON * 60 mL in 1 BOTTLE (45802-098-46) * 1 SWAB in 1 PACKETMarketed from Aug 2, 2018

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
Dosage form
Kit
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076751
Marketing start
Listing expires
Identifiers
Product ID 63629-8679_3735ed2d-e468-4890-813a-991f3aa5fd48SPL ID 3735ed2d-e468-4890-813a-991f3aa5fd48SPL set ID 1e561474-6169-410e-b83d-7e96d375831dRxCUI 238151

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

N463629867901 followed by a unit qualifier and the quantity

Package 63629-8679-01. 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 Mesalamine rectal suspension enema is indicated for the treatment of active mild to moderate distal ulcerative colitis, proctosigmoiditis or proctitis in adults.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 076751

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

FDA NDC Directory listings under ANDA 076751
ProductStrengthForm · routeLabelerProduct NDC
Mesalamine—KitPadagis Israel Pharmaceuticals Ltd45802-923
Mesalamine—KitPadagis Israel Pharmaceuticals Ltd45802-929
MesalamineMesalamine 4 g/60mLEnemaRectalPadagis Israel Pharmaceuticals Ltd45802-098
Mesalamine—KitBryant Ranch Prepack63629-8678

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