NDC codes

FDA NDC Directory
Product NDC (as listed)67877-454Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0454Add 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
67877-454-0567877045405500 CAPSULE, COATED PELLETS in 1 BOTTLE (67877-454-05)Marketed from Dec 6, 2017
67877-454-306787704543030 CAPSULE, COATED PELLETS in 1 BOTTLE (67877-454-30)Marketed from Dec 6, 2017
67877-454-84678770454843 BLISTER PACK in 1 CARTON (67877-454-84) / 10 CAPSULE, COATED PELLETS in 1 BLISTER PACK (67877-454-33)Marketed from Dec 6, 2017
67877-454-906787704549090 CAPSULE, COATED PELLETS in 1 BOTTLE (67877-454-90)Marketed from Dec 6, 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)
Itraconazole
Generic name (nonproprietary)
itraconazole
Active ingredients
Itraconazole — 100 mg/1
Dosage form
Capsule, Coated pellets
Route
Oral
Labeler
Ascend Laboratories, LLCNDC labeler code 67877
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 208591
Marketing start
Listing expires
Other FDA classes
Azoles (Chemical structure)Breast Cancer Resistance Protein Inhibitors (Mechanism)Cytochrome P450 3A4 Inhibitors (Mechanism)P-Glycoprotein Inhibitors (Mechanism)
Identifiers
Product ID 67877-454_17ebcbb4-d52b-44b8-a4ef-42ddae5034dbSPL ID 17ebcbb4-d52b-44b8-a4ef-42ddae5034dbSPL set ID 349ffcf4-b2cd-4c93-9411-13c39275b8f3RxCUI 311204UNII 304NUG5GF4
Pharmacologic class
Azole Antifungal

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

N467877045405 followed by a unit qualifier and the quantity

Package 67877-0454-05. 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)

INDICATIONS & USAGE Itraconazole capsules are indicated for the treatment of the following fungal infections in immunocompromised and non-immunocompromised patients: 1. Blastomycosis, pulmonary and extrapulmonary 2. Histoplasmosis, including chronic cavitary pulmonary disease and disseminated, non-meningeal histoplasmosis, and 3. Aspergillosis, pulmonary and extrapulmonary, in patients who are intolerant of or who are refractory to amphotericin B therapy. Specimens for fungal cultures and other relevant laboratory studies (wet mount, histopathology, serology) should be obtained before therapy to isolate and identify causative organisms. Therapy may be instituted before the results of the cul…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67877-454

What is NDC 67877-454?
67877-454 is the product NDC for Itraconazole, Itraconazole 100 mg/1 capsule, coated pellets, listed with the FDA by Ascend Laboratories, LLC. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Itraconazole.
What is the active ingredient?
Itraconazole.
Who is the labeler?
Ascend Laboratories, LLC, NDC labeler code 67877. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Itraconazole?
11 other product NDCs are listed under this name. See all Itraconazole NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Itraconazole NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
ItraconazoleItraconazole 100 mg/1CapsuleOralRising Pharma Holdings, Inc.16571-24516571-0245-03
ItraconazoleItraconazole 10 mg/mLSolutionOralCamber Pharmaceuticals, Inc.31722-00631722-0006-31
ItraconazoleItraconazole 100 mg/1CapsuleOralTorrent Pharmaceuticals Limited13668-46313668-0463-0513668-0463-3013668-0463-37+1 more
ItraconazoleItraconazole 100 mg/1CapsuleOralAvPAK50268-45050268-0450-12
ItraconazoleItraconazole 100 mg/1Capsule, Coated pelletsOralNorthStar RxLLC16714-74316714-0743-0116714-0743-02
ItraconazoleItraconazole 100 mg/1CapsuleOralAmerican Health Packaging60687-29960687-0299-25
ItraconazoleItraconazole 100 mg/1CapsuleOralAlembic Pharmaceuticals Limited46708-20446708-0204-0446708-0204-1046708-0204-30+2 more
ItraconazoleItraconazole 100 mg/1CapsuleOralAlembic Pharmaceuticals Inc.62332-20462332-0204-0462332-0204-1062332-0204-30+2 more
ItraconazoleItraconazole 100 mg/1CapsuleOralAmneal Pharmaceuticals LLC65162-63065162-0630-03
ItraconazoleItraconazole 10 mg/mLSolutionOralAmneal Pharmaceuticals LLC65162-08765162-0087-3465162-0087-74

All 12 Itraconazole NDCs

Other NDCs under ANDA 208591

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

FDA NDC Directory listings under ANDA 208591
ProductStrengthForm · routeLabelerProduct NDC
ItraconazoleItraconazole 100 mg/1Capsule, Coated pelletsOralNorthStar RxLLC16714-743

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