NDC codes

FDA NDC Directory
Product NDC (as listed)67877-445Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0445Add 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
67877-445-0567877044505500 TABLET, COATED in 1 BOTTLE (67877-445-05)Marketed from Apr 24, 2017
67877-445-10678770445101000 TABLET, COATED in 1 BOTTLE (67877-445-10)Marketed from Apr 24, 2017
67877-445-306787704453030 TABLET, COATED in 1 BOTTLE (67877-445-30)Marketed from Apr 24, 2017
67877-445-906787704459090 TABLET, COATED in 1 BOTTLE (67877-445-90)Marketed from Apr 24, 2017

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)
Olmesartan Medoxomil
Generic name (nonproprietary)
olmesartan medoxomil
Active ingredients
Olmesartan medoxomil — 5 mg/1
Dosage form
Tablet, Coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206763
Marketing start
Listing expires
Other FDA classes
Angiotensin 2 Receptor Antagonists (Mechanism)
Identifiers
Product ID 67877-445_a1d66aa9-d0fa-4d21-bba0-ff8078c2e5afSPL ID a1d66aa9-d0fa-4d21-bba0-ff8078c2e5afSPL set ID 142b735a-e1cd-46e1-a523-3ef061001bf9RxCUI 349373, 349401, 349405UNII 6M97XTV3HDUPC 0367877445304

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

N467877044505 followed by a unit qualifier and the quantity

Package 67877-0445-05. 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)

Olmesartan medoxomil tablets are indicated for the treatment of hypertension in adults and children six years of age and older, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes including the class to which this drug principally belongs. There are no controlled trials demonstrating risk reduction with olmesartan medoxomil tablets. Control of high blood pressure should be part of comprehensive cardiovascular risk management, including, as appropriate, lipid control, d…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 206763

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

FDA NDC Directory listings under ANDA 206763
ProductStrengthForm · routeLabelerProduct NDC
Olmesartan MedoxomilOlmesartan medoxomil 40 mg/1Tablet, CoatedOralBryant Ranch Prepack71335-2749
Olmesartan MedoxomilOlmesartan medoxomil 40 mg/1Tablet, CoatedOralA-S Medication Solutions50090-3655
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1Tablet, CoatedOralA-S Medication Solutions50090-3656
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1Tablet, CoatedOralA-S Medication Solutions50090-7872
Olmesartan MedoxomilOlmesartan medoxomil 5 mg/1Tablet, CoatedOralBryant Ranch Prepack71335-2600
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1Tablet, CoatedOralAscend Laboratories, LLC67877-446
Olmesartan MedoxomilOlmesartan medoxomil 40 mg/1Tablet, CoatedOralAscend Laboratories, LLC67877-447
Olmesartan MedoxomilOlmesartan medoxomil 40 mg/1Tablet, CoatedOralA-S Medication Solutions50090-7087
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1Tablet, CoatedOralBryant Ranch Prepack71335-2448
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1Tablet, CoatedOralProficient Rx LP71205-458
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1Tablet, CoatedOralREMEDYREPACK INC.70518-1343
Olmesartan MedoxomilOlmesartan medoxomil 40 mg/1Tablet, CoatedOralREMEDYREPACK INC.70518-1345
Olmesartan MedoxomilOlmesartan medoxomil 40 mg/1Tablet, CoatedOralProficient Rx LP71205-459

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