NDC codes

FDA NDC Directory
Product NDC (as listed)68071-4290Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68071-4290Add 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
68071-4290-36807142900330 TABLET, EXTENDED RELEASE in 1 BOTTLE (68071-4290-3)Marketed from Feb 19, 2018
68071-4290-66807142900660 TABLET, EXTENDED RELEASE in 1 BOTTLE (68071-4290-6)Marketed from Feb 19, 2018
68071-4290-96807142900990 TABLET, EXTENDED RELEASE in 1 BOTTLE (68071-4290-9)Marketed from Feb 19, 2018

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Isosorbide Mononitrate
Generic name (nonproprietary)
isosorbide mononitrate
Active ingredients
Isosorbide mononitrate — 30 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075522
Marketing start
Listing expires
Other FDA classes
Nitrates (Chemical structure)Vasodilation (Physiologic effect)
Identifiers
Product ID 68071-4290_1a3dc619-6b11-21b4-e063-6294a90acb1eSPL ID 1a3dc619-6b11-21b4-e063-6294a90acb1eSPL set ID 65935a15-a023-1941-e053-2991aa0a5eb4RxCUI 317110UNII LX1OH63030UPC 0368071429091
Pharmacologic class
Nitrate Vasodilator

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

N468071429003 followed by a unit qualifier and the quantity

Package 68071-4290-03. 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

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