Choleystyramine Light NDC 67877-422

NDC codes

FDA NDC Directory

Product NDC (as listed)67877-422Labeler and product segments. Claims need a package NDC.

Product NDC at billing width67877-0422Add 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
67877-422-24	67877042224	240.156 g in 1 JAR (67877-422-24)Marketed from Oct 20, 2021
67877-422-60	67877042260	60 POUCH in 1 CARTON (67877-422-60) / 5.718 g in 1 POUCH (67877-422-57)Marketed from Oct 20, 2021

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): Choleystyramine Light
Generic name (nonproprietary): choleystyramine light
Active ingredients: Cholestyramine — 4 g/5.718g
Dosage form: Powder, For suspension
Route: Oral
Labeler: Ascend Laboratories, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 211799
Marketing start: Oct 20, 2021
Listing expires: Dec 31, 2027
Other FDA classes: Bile-acid Binding Activity (Mechanism)
Identifiers: Product ID 67877-422_4880e0f1-3a01-431b-92ae-8cf788c73c41SPL ID 4880e0f1-3a01-431b-92ae-8cf788c73c41SPL set ID 4c9d4561-d5b5-463b-ac57-1bc4d84d135dRxCUI 1801279UNII 4B33BGI082
Pharmacologic class: Bile Acid Sequestrant

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

N467877042224 followed by a unit qualifier and the quantity

Package 67877-0422-24. 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 Jun 29, 2026.

Indications (excerpt from the label)

INDICATIONS AND USAGE 1) Cholestyramine for Oral Suspension USP Light powder is indicated as adjunctive therapy to diet for the reduction of elevated serum cholesterol in patients with primary hypercholesterolemia (elevated low density lipoprotein [LDL] cholesterol) who do not respond adequately to diet. Cholestyramine for Oral Suspension USP Light powder may be useful to lower LDL cholesterol in patients who also have hypertriglyceridemia, but it is not indicated where hypertriglyceridemia is the abnormality of most concern. Therapy with lipid-altering agents should be a component of multiple risk factor intervention in those individuals at significantly increased risk for atherosclerotic v…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 211799

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

FDA NDC Directory listings under ANDA 211799
Product	Strength	Form · route	Labeler	Product NDC
Choleystyramine Light	Cholestyramine 4 g/5.718g	Powder, For suspensionOral	Bryant Ranch Prepack	63629-9466