EnBrace HR NDC 64661-650

NDC codes

FDA NDC Directory

Product NDC (as listed)64661-650Labeler and product segments. Claims need a package NDC.

Product NDC at billing width64661-0650Add 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	Copy
64661-650-30	64661065030	30 CAPSULE, DELAYED RELEASE PELLETS in 1 BOTTLE (64661-650-30)Marketed from Aug 12, 2011

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): EnBrace HR
Generic name (nonproprietary): levomefolate magnesium, leucovorin, folic acid, ferrous cysteine glycinate, magnesium ascorbate, zinc ascorbate, cocarboxylase, flavin adenine dinucleotide, nadh, pyridoxal phosphate anhydrous, cobamamide, betaine, magnesium l-threonate, 1,2-docosahexanoyl-sn-glycero-3-phosphoserine calcium, 1,2-icosapentoyl-sn-glycero-3-phosphoserine calcium, and phosphatidyl serine
Active ingredients: Levomefolate magnesium — 5.23 mg/1Leucovorin — 2.5 mg/1Folic acid — 1 mg/1Ferrous cysteine glycinate — 13.6 mg/1Magnesium ascorbate — 24 mg/1Zinc ascorbate — 1 mg/1Cocarboxylase — 25 ug/1Flavin adenine dinucleotide — 25 ug/1Nadh — 25 ug/1Pyridoxal phosphate anhydrous — 25 ug/1Cobamamide — 50 ug/1Betaine — 500 ug/1Magnesium l-threonate — 1 mg/11,2-docosahexanoyl-sn-glycero-3-phosphoserine calcium — 6.4 mg/11,2-icosapentoyl-sn-glycero-3-phosphoserine calcium — 800 ug/1Phosphatidyl serine — 12 mg/1
Dosage form: Capsule, Delayed release pellets
Route: Oral
Labeler: Jaymac Pharmaceuticals, LLC
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Aug 12, 2011
Listing expires: Dec 31, 2027
Other FDA classes: Ascorbic Acid (Chemical structure)Ascorbic Acid (Chemical structure)Folic Acid (Chemical structure)Folic Acid (Chemical structure)Methylating Activity (Mechanism)
Identifiers: Product ID 64661-650_4debcb6d-7bde-4f47-93a1-86c0b244d654SPL ID 4debcb6d-7bde-4f47-93a1-86c0b244d654
Pharmacologic class: Folate Analog; Methylating Agent; Vitamin C

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

N464661065030 followed by a unit qualifier and the quantity

Package 64661-0650-30. 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

The FDA listing for this product does not reference a label (SPL) set.