NDC codes

FDA NDC Directory
Product NDC (as listed)65862-709Labeler and product segments. Claims need a package NDC.
Product NDC at billing width65862-0709Add 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
65862-709-0165862070901100 TABLET, FILM COATED in 1 BOTTLE (65862-709-01)Marketed from Aug 28, 2015
65862-709-03658620709033 BLISTER PACK in 1 CARTON (65862-709-03) / 10 TABLET, FILM COATED in 1 BLISTER PACK (65862-709-10)Marketed from Aug 28, 2015
65862-709-22658620709222000 TABLET, FILM COATED in 1 BOTTLE (65862-709-22)Marketed from Aug 28, 2015
65862-709-306586207093030 TABLET, FILM COATED in 1 BOTTLE (65862-709-30)Marketed from Aug 28, 2015
65862-709-99658620709991000 TABLET, FILM COATED in 1 BOTTLE (65862-709-99)Marketed from Aug 28, 2015

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)
Raloxifene Hydrochloride
Generic name (nonproprietary)
raloxifene hydrochloride
Active ingredients
Raloxifene hydrochloride — 60 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204310
Marketing start
Listing expires
Other FDA classes
Selective Estrogen Receptor Modulators (Mechanism)
Identifiers
Product ID 65862-709_161df518-c043-4476-968b-d0268ae03fd5SPL ID 161df518-c043-4476-968b-d0268ae03fd5SPL set ID e8b6cbe0-c1f4-4678-b852-f629a7f6a1b5RxCUI 1490065UNII 4F86W47BR6UPC 0365862709301
Pharmacologic class
Estrogen Agonist/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

N465862070901 followed by a unit qualifier and the quantity

Package 65862-0709-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Raloxifene hydrochloride is an estrogen agonist/antagonist indicated for: Treatment and prevention of osteoporosis in postmenopausal women. ( 1.1 ) Reduction in risk of invasive breast cancer in postmenopausal women with osteoporosis. ( 1.2 ) Reduction in risk of invasive breast cancer in postmenopausal women at high risk for invasive breast cancer. ( 1.3 ) Important Limitations: Raloxifene hydrochloride tablets are not indicated for the treatment of invasive breast cancer, reduction of the risk of recurrence of breast cancer, or reduction of risk of noninvasive breast cancer. ( 1.3 ) 1.1 Treatment and Prevention of Osteoporosis in Postmenopausal Women Raloxifene hydrochloride tablets are in…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 204310

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

FDA NDC Directory listings under ANDA 204310
ProductStrengthForm · routeLabelerProduct NDC
Raloxifene HydrochlorideRaloxifene hydrochloride 60 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-7073
Raloxifene HydrochlorideRaloxifene hydrochloride 60 mg/1Tablet, Film coatedOralNorthStar Rx LLC16714-213
Raloxifene HydrochlorideRaloxifene hydrochloride 60 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-2059

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