NDC codes

FDA NDC Directory
Product NDC (as listed)67877-506Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0506Add 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
67877-506-0567877050605500 TABLET, FILM COATED in 1 BOTTLE (67877-506-05)Marketed from Oct 6, 2018
67877-506-306787705063030 TABLET, FILM COATED in 1 BOTTLE (67877-506-30)Marketed from Oct 6, 2018
67877-506-5167877050651180 TABLET, FILM COATED in 1 BOTTLE (67877-506-51)Marketed from Oct 6, 2018
67877-506-906787705069090 TABLET, FILM COATED in 1 BOTTLE (67877-506-90)Marketed from Oct 6, 2018

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)
Colesevelam HCL
Generic name (nonproprietary)
colesevelam hcl
Active ingredients
Colesevelam hydrochloride — 625 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209038
Marketing start
Listing expires
Other FDA classes
Bile-acid Binding Activity (Mechanism)
Identifiers
Product ID 67877-506_1505e4ef-7340-4164-b3f2-cdd36a67f92bSPL ID 1505e4ef-7340-4164-b3f2-cdd36a67f92bSPL set ID 4ffd02a3-86b8-4af7-b539-aa32e38c6b12RxCUI 866910UNII P4SG24WI5QUPC 0367877506517
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

N467877050605 followed by a unit qualifier and the quantity

Package 67877-0506-05. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 209038

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

FDA NDC Directory listings under ANDA 209038
ProductStrengthForm · routeLabelerProduct NDC
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralPD-Rx Pharmaceuticals, Inc.72789-476
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralBryant Ranch Prepack63629-8767
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-4371
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-2905
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralBryant Ranch Prepack72162-1846
Colesevelam HCLColesevelam hydrochloride 625 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-7811

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