NDC codes

FDA NDC Directory
Product NDC (as listed)67877-620Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0620Add 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
67877-620-30678770620306787706203030 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (67877-620-30)Marketed from Apr 6, 2026
67877-620-60678770620606787706206060 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (67877-620-60)Marketed from Apr 6, 2026
67877-620-90678770620906787706209090 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (67877-620-90)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

Generic name (nonproprietary)
dapagliflozin and metformin hydrochloride
Active ingredients
Dapagliflozin — 5 mg/1Metformin hydrochloride — 1000 mg/1
Dosage form
Tablet, Film coated, Extended release
Route
Oral
Labeler
Ascend Laboratories, LLCNDC labeler code 67877
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211563
Marketing start
Listing expires
Other FDA classes
Biguanides (Chemical structure)Sodium-Glucose Transporter 2 Inhibitors (Mechanism)
Identifiers
Product ID 67877-620_a54a2b85-619a-4bb8-b3fa-dfe945a9008dSPL ID a54a2b85-619a-4bb8-b3fa-dfe945a9008dSPL set ID eadcc3ef-f5c2-4a56-a6aa-12909844144eRxCUI 1593058, 1593068, 1593070, 1593072UNII 786Z46389E, 1ULL0QJ8UCUPC 0367877621050

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

N467877062030 followed by a unit qualifier and the quantity

Package 67877-0620-30. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

Dapagliflozin and metformin hydrochloride extended-release tablets are combination of dapagliflozin and metformin hydrochloride (HCl) extended-release, indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Dapagliflozin, when used as a component of dapagliflozin and metformin hydrochloride extended-release tablets, are indicated in adults with type 2 diabetes mellitus to reduce the risk of: Sustained eGFR decline, end-stage kidney disease, cardiovascular death, and hospitalization for heart failure in patients with chronic kidney disease at risk of progression. Cardiovascular death, hospitalization for heart failure, and urgent hear…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67877-620

What is NDC 67877-620?
67877-620 is the product NDC for dapagliflozin and metformin hydrochloride, Dapagliflozin 5 mg/1; Metformin hydrochloride 1000 mg/1 tablet, film coated, extended release, listed with the FDA by Ascend Laboratories, LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
dapagliflozin and metformin hydrochloride.
What is the active ingredient?
Dapagliflozin, Metformin hydrochloride.
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 dapagliflozin and metformin hydrochloride?
31 other product NDCs are listed under this name. See all dapagliflozin and metformin hydrochloride 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 dapagliflozin and metformin hydrochloride NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dapagliflozin and Metformin HydrochlorideDapagliflozin 10 mg/1; Metformin hydrochloride 1000 mg/1Tablet, Film coated, Extended releaseOralMicro Labs Limited42571-32342571-0323-0442571-0323-3042571-0323-90
Dapagliflozin and Metformin HydrochlorideDapagliflozin 5 mg/1; Metformin hydrochloride 500 mg/1Tablet, Film coated, Extended releaseOralMicro Labs Limited42571-32042571-0320-0542571-0320-3042571-0320-90
Dapagliflozin and Metformin HydrochlorideDapagliflozin 10 mg/1; Metformin hydrochloride 500 mg/1Tablet, Film coated, Extended releaseOralMicro Labs Limited42571-32142571-0321-0542571-0321-3042571-0321-90
Dapagliflozin and Metformin HydrochlorideDapagliflozin 5 mg/1; Metformin hydrochloride 1000 mg/1Tablet, Film coated, Extended releaseOralMicro Labs Limited42571-32242571-0322-3042571-0322-6042571-0322-90
Dapagliflozin And Metformin HydrochlorideDapagliflozin 5 mg/1; Metformin hydrochloride 500 mg/1Tablet, Extended releaseOralLupin Pharmaceuticals, Inc.70748-10170748-0101-06
Dapagliflozin And Metformin HydrochlorideDapagliflozin 5 mg/1; Metformin hydrochloride 1000 mg/1Tablet, Extended releaseOralLupin Pharmaceuticals, Inc.70748-10270748-0102-07
Dapagliflozin And Metformin HydrochlorideDapagliflozin 10 mg/1; Metformin hydrochloride 500 mg/1Tablet, Extended releaseOralLupin Pharmaceuticals, Inc.70748-10370748-0103-06
Dapagliflozin And Metformin HydrochlorideDapagliflozin 10 mg/1; Metformin hydrochloride 1000 mg/1Tablet, Extended releaseOralLupin Pharmaceuticals, Inc.70748-10470748-0104-06
Dapagliflozin and Metformin HydrochlorideDapagliflozin 10 mg/1; Metformin hydrochloride 500 mg/1Tablet, Extended releaseOralMacleods Pharmaceuticals Limited33342-40733342-0407-0633342-0407-0733342-0407-09+2 more
Dapagliflozin and Metformin HydrochlorideDapagliflozin 5 mg/1; Metformin hydrochloride 1000 mg/1Tablet, Extended releaseOralMacleods Pharmaceuticals Limited33342-40833342-0408-0633342-0408-0733342-0408-09+2 more

All 32 dapagliflozin and metformin hydrochloride NDCs

Other NDCs under ANDA 211563

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

FDA NDC Directory listings under ANDA 211563
ProductStrengthForm · routeLabelerProduct NDC
dapagliflozin and metformin hydrochlorideDapagliflozin 5 mg/1; Metformin hydrochloride 500 mg/1Tablet, Film coated, Extended releaseOralAscend Laboratories, LLC67877-619
dapagliflozin and metformin hydrochlorideDapagliflozin 10 mg/1; Metformin hydrochloride 500 mg/1Tablet, Film coated, Extended releaseOralAscend Laboratories, LLC67877-621
dapagliflozin and metformin hydrochlorideDapagliflozin 10 mg/1; Metformin hydrochloride 1000 mg/1Tablet, Film coated, Extended releaseOralAscend Laboratories, LLC67877-622

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