NDC codes

FDA NDC Directory
Product NDC (as listed)67877-609Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0609Add 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
67877-609-0567877060905500 TABLET, FILM COATED in 1 BOTTLE (67877-609-05)Marketed from Apr 6, 2026
67877-609-306787706093030 TABLET, FILM COATED in 1 BOTTLE (67877-609-30)Marketed from Apr 6, 2026
67877-609-33678770609331 BLISTER PACK in 1 CARTON (67877-609-33) / 10 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Apr 6, 2026
67877-609-906787706099090 TABLET, FILM COATED in 1 BOTTLE (67877-609-90)Marketed from Apr 6, 2026

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)
Dapagliflozin
Generic name (nonproprietary)
dapagliflozin
Active ingredients
Dapagliflozin — 10 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211545
Marketing start
Listing expires
Other FDA classes
Sodium-Glucose Transporter 2 Inhibitors (Mechanism)
Identifiers
Product ID 67877-609_4cb873fb-8492-48d2-8dd7-bc86ed72e20bSPL ID 4cb873fb-8492-48d2-8dd7-bc86ed72e20bSPL set ID b6b8a10c-64c3-4856-8961-d72d68784f5dRxCUI 1488569, 1488574UNII 1ULL0QJ8UCUPC 0367877609058

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

N467877060905 followed by a unit qualifier and the quantity

Package 67877-0609-05. 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 .

Indications (excerpt from the label)

Dapagliflozin tablets is indicated: To reduce the risk of hospitalization for heart failure in adults with type 2 diabetes mellitus and either established cardiovascular disease or multiple cardiovascular risk factors. As an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Limitations of Use Dapagliflozin tablets is not recommended for use to improve glycemic control in patients with type 1 diabetes mellitus [see Warnings and Precautions ( 5.1 )]. Dapagliflozin tablets is not recommended for use to improve glycemic control in patients with type 2 diabetes mellitus with an eGFR less than 45 mL/min/1.73 m 2 . Dapagliflozin tablets is likely to b…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 211545

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

FDA NDC Directory listings under ANDA 211545
ProductStrengthForm · routeLabelerProduct NDC
DapagliflozinDapagliflozin 5 mg/1Tablet, Film coatedOralAscend Laboratories, LLC67877-608

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