NDC codes

FDA NDC Directory
Product NDC (as listed)66490-690Labeler and product segments. Claims need a package NDC.
Product NDC at billing width66490-0690Add 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
66490-690-1066490069010100 TABLET in 1 BOTTLE (66490-690-10)Marketed from Jun 24, 2009

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)
Mysoline
Generic name (nonproprietary)
primidone
Active ingredients
Primidone — 50 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 009170
Marketing start
Listing expires
Other FDA classes
Decreased Central Nervous System Disorganized Electrical Activity (Physiologic effect)
Identifiers
Product ID 66490-690_8604870a-4144-4f14-8720-616b25257be6SPL ID 8604870a-4144-4f14-8720-616b25257be6SPL set ID af593171-dabb-4ea3-b44c-89ed457b2c46RxCUI 96304, 198150, 201747, 207478UNII 13AFD7670QUPC 0366490691105
Pharmacologic class
Anti-epileptic Agent

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

N466490069010 followed by a unit qualifier and the quantity

Package 66490-0690-10. 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 MYSOLINE, used alone or concomitantly with other anticonvulsants, is indicated in the control of grand mal, psychomotor, and focal epileptic seizures. It may control grand mal seizures refractory to other anticonvulsant therapy.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 009170

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

FDA NDC Directory listings under NDA 009170
ProductStrengthForm · routeLabelerProduct NDC
MysolineprimidonePrimidone 250 mg/1TabletOralBausch Health US, LLC66490-691

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