NDC codes

FDA NDC Directory
Product NDC (as listed)67877-635Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0635Add 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
67877-635-0167877063501100 TABLET in 1 BOTTLE (67877-635-01)Marketed from Sep 7, 2022
67877-635-026787706350210 TABLET in 1 BOTTLE (67877-635-02)Marketed from Sep 7, 2022
67877-635-33678770635331 BLISTER PACK in 1 CARTON (67877-635-33) / 10 TABLET in 1 BLISTER PACKMarketed from Sep 7, 2022

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)
Tolvaptan
Generic name (nonproprietary)
tolvaptan
Active ingredients
Tolvaptan — 15 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211891
Marketing start
Listing expires
Other FDA classes
Vasopressin V2 Receptor Antagonists (Mechanism)
Identifiers
Product ID 67877-635_f75355a8-50ef-4a88-aaa0-c85c0ae5c23dSPL ID f75355a8-50ef-4a88-aaa0-c85c0ae5c23dSPL set ID dd71ee70-9435-4715-bee5-edbb5a8d7d7bRxCUI 849827, 849833, 2044363UNII 21G72T1950
Pharmacologic class
Vasopressin V2 Receptor Antagonist

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

N467877063501 followed by a unit qualifier and the quantity

Package 67877-0635-01. 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)

Tolvaptan tablets are indicated for the treatment of clinically significant hypervolemic and euvolemic hyponatremia (serum sodium <125 mEq/L or less marked hyponatremia that is symptomatic and has resisted correction with fluid restriction), including patients with heart failure and Syndrome of Inappropriate Antidiuretic Hormone (SIADH). Limitations of Use Patients requiring intervention to raise serum sodium urgently to prevent or to treat serious neurological symptoms should not be treated with tolvaptan tablets. It has not been established that raising serum sodium with tolvaptan tablets provides a symptomatic benefit to patients. Tolvaptan tablets is a selective vasopressin V2-receptor a…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 211891

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

FDA NDC Directory listings under ANDA 211891
ProductStrengthForm · routeLabelerProduct NDC
TolvaptanTolvaptan 30 mg/1TabletOralAscend Laboratories, LLC67877-636
TolvaptanTolvaptan 60 mg/1TabletOralAscend Laboratories, LLC67877-637

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