NDC codes

FDA NDC Directory
Product NDC (as listed)63629-8913Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-8913Add 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
63629-8913-163629891301500 TABLET in 1 BOTTLE (63629-8913-1)Marketed from Nov 19, 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)
Pravastatin Sodium
Generic name (nonproprietary)
pravastatin sodium
Active ingredients
Pravastatin sodium — 80 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209869
Marketing start
Listing expires
Other FDA classes
Hydroxymethylglutaryl-CoA Reductase Inhibitors (Mechanism)
Identifiers
Product ID 63629-8913_337944c8-5831-8ba0-e063-6294a90a5989SPL ID 337944c8-5831-8ba0-e063-6294a90a5989SPL set ID 80ddec55-6a18-4b87-8a07-6ae86ad62853RxCUI 904481UNII 3M8608UQ61
Pharmacologic class
HMG-CoA Reductase Inhibitor

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

N463629891301 followed by a unit qualifier and the quantity

Package 63629-8913-01. 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)

Therapy with lipid-altering agents should be only one component of multiple risk factor intervention in individuals at significantly increased risk for atherosclerotic vascular disease due to hypercholesterolemia. Drug therapy is indicated as an adjunct to diet when the response to a diet restricted in saturated fat and cholesterol and other nonpharmacologic measures alone has been inadequate. Pravastatin Sodium is an HMG-CoA reductase inhibitor (statin) indicated as an adjunctive therapy to diet to: Reduce the risk of MI, revascularization, and cardiovascular mortality in hypercholesterolemic patients without clinically evident CHD. (1.1) Reduce the risk of total mortality by reducing coron…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209869

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

FDA NDC Directory listings under ANDA 209869
ProductStrengthForm · routeLabelerProduct NDC
Pravastatin sodiumPravastatin sodium 40 mg/1TabletOralBiocon Pharma Inc.70377-047
Pravastatin sodiumPravastatin sodium 10 mg/1TabletOralBiocon Pharma Inc.70377-045
Pravastatin sodiumPravastatin sodium 20 mg/1TabletOralBiocon Pharma Inc.70377-046
Pravastatin sodiumPravastatin sodium 20 mg/1TabletOralA-S Medication Solutions50090-7892
Pravastatin sodiumPravastatin sodium 20 mg/1TabletOralA-S Medication Solutions50090-7893
Pravastatin SodiumPravastatin sodium 20 mg/1TabletOralBryant Ranch Prepack63629-8906
Pravastatin SodiumPravastatin sodium 10 mg/1TabletOralBryant Ranch Prepack63629-8904
Pravastatin SodiumPravastatin sodium 20 mg/1TabletOralBryant Ranch Prepack63629-8909
Pravastatin SodiumPravastatin sodium 40 mg/1TabletOralBryant Ranch Prepack63629-8910
Pravastatin SodiumPravastatin sodium 40 mg/1TabletOralBryant Ranch Prepack63629-8911
Pravastatin SodiumPravastatin sodium 80 mg/1TabletOralBryant Ranch Prepack63629-8912
Pravastatin sodiumPravastatin sodium 40 mg/1TabletOralBryant Ranch Prepack71335-2687
Pravastatin SodiumPravastatin sodium 40 mg/1TabletOralBryant Ranch Prepack63629-9164
Pravastatin SodiumPravastatin sodium 10 mg/1TabletOralBryant Ranch Prepack63629-9162
Pravastatin SodiumPravastatin sodium 20 mg/1TabletOralBryant Ranch Prepack63629-9163
Pravastatin SodiumPravastatin sodium 80 mg/1TabletOralBryant Ranch Prepack63629-9165
Pravastatin SodiumPravastatin sodium 10 mg/1TabletOralBryant Ranch Prepack72162-1951
Pravastatin SodiumPravastatin sodium 40 mg/1TabletOralBryant Ranch Prepack72162-1953
Pravastatin SodiumPravastatin sodium 80 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-877
Pravastatin SodiumPravastatin sodium 40 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-884

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