Amlodipine and olmesartan Medoxomil NDC 67877-500

NDC codes

FDA NDC Directory

Product NDC (as listed)67877-500Labeler and product segments. Claims need a package NDC.

Product NDC at billing width67877-0500Add 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
67877-500-30	67877050030	30 TABLET in 1 BOTTLE (67877-500-30)Marketed from Aug 14, 2017
67877-500-90	67877050090	90 TABLET in 1 BOTTLE (67877-500-90)Marketed from Aug 14, 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): Amlodipine and olmesartan Medoxomil
Generic name (nonproprietary): amlodipine and olmesartan medoxomil
Active ingredients: Amlodipine besylate — 10 mg/1Olmesartan medoxomil — 20 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Ascend Laboratories, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 209042
Marketing start: Aug 14, 2017
Listing expires: Dec 31, 2026
Other FDA classes: Angiotensin 2 Receptor Antagonists (Mechanism)Calcium Channel Antagonists (Mechanism)Cytochrome P450 3A Inhibitors (Mechanism)Dihydropyridines (Chemical structure)
Identifiers: Product ID 67877-500_32238052-6c4c-4b29-a59e-524c819c69f1SPL ID 32238052-6c4c-4b29-a59e-524c819c69f1SPL set ID c1204fbe-d086-43cf-bbaa-efec9cd0487cRxCUI 730861, 730866, 730869, 730872UNII 864V2Q084H, 6M97XTV3HD
Pharmacologic class: Angiotensin 2 Receptor Blocker; Calcium Channel Blocker; Dihydropyridine Calcium Channel Blocker

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

N467877050030 followed by a unit qualifier and the quantity

Package 67877-0500-30. 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

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