NDC codes

FDA NDC Directory
Product NDC (as listed)67877-920Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0920Add 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
67877-920-54678770920544 BLISTER PACK in 1 CARTON (67877-920-54) / 1 KIT in 1 BLISTER PACK (67877-920-14)Marketed from Sep 1, 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)
Tolvaptan
Generic name (nonproprietary)
tolvaptan
Dosage form
Kit
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 220147
Marketing start
Listing expires
Identifiers
Product ID 67877-920_2a51dd17-fedf-4168-be2a-337ab74667a8SPL ID 2a51dd17-fedf-4168-be2a-337ab74667a8SPL set ID 82ef58ef-ce46-434e-bf99-89fce51094f1RxCUI 2044359, 2044363, 2044367, 2044966, 2044968, 2044970, 2274813, 2274815, 2719335, 2719337UNII 21G72T1950UPC 0367877921549, 0367877923147, 0367877923543, 0367877922546, 0367877922140, 0367877920146, 0367877924144, 0367877924540, 0367877920542, 0367877921143

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N467877092054 followed by a unit qualifier and the quantity

Package 67877-0920-54. 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 tablet is indicated to slow kidney function decline in adults at risk of rapidly progressing autosomal dominant polycystic kidney disease (ADPKD). Tolvaptan tablet is a selective vasopressin V 2 -receptor antagonist indicated to slow kidney function decline in adults at risk of rapidly progressing autosomal dominant polycystic kidney disease (ADPKD) ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 220147

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

FDA NDC Directory listings under ANDA 220147
ProductStrengthForm · routeLabelerProduct NDC
Tolvaptan—KitAscend Laboratories, LLC67877-923
Tolvaptan—KitAscend Laboratories, LLC67877-921
Tolvaptan—KitAscend Laboratories, LLC67877-922
TolvaptanTolvaptan 30 mg/1TabletOralAscend Laboratories, LLC67877-916
TolvaptanTolvaptan 15 mg/1TabletOralAscend Laboratories, LLC67877-915
TolvaptanTolvaptan 90 mg/1TabletOralAscend Laboratories, LLC67877-919
TolvaptanTolvaptan 45 mg/1TabletOralAscend Laboratories, LLC67877-917
TolvaptanTolvaptan 60 mg/1TabletOralAscend Laboratories, LLC67877-918
Tolvaptan—KitAscend Laboratories, LLC67877-924

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