NDC codes

FDA NDC Directory
Product NDC (as listed)69097-644Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69097-0644Add 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
69097-644-48690970644486 CONTAINER in 1 BOX (69097-644-48) / 1 SPRAY in 1 CONTAINERMarketed from Feb 22, 2021

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)
Sumatriptan
Generic name (nonproprietary)
sumatriptan
Active ingredients
Sumatriptan — 20 mg/1
Dosage form
Spray
Route
Nasal
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214209
Marketing start
Listing expires
Other FDA classes
Serotonin 1b Receptor Agonists (Mechanism)Serotonin 1d Receptor Agonists (Mechanism)
Identifiers
Product ID 69097-644_7426a8de-8412-4aee-a320-f30097e37f07SPL ID 7426a8de-8412-4aee-a320-f30097e37f07SPL set ID 559cca31-c0d2-45bf-999d-e92fc49a4a89RxCUI 314227UNII 8R78F6L9VO
Pharmacologic class
Serotonin-1b and Serotonin-1d Receptor Agonist

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. Nasal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N469097064448 followed by a unit qualifier and the quantity

Package 69097-0644-48. 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)

Sumatriptan nasal spray is indicated for the acute treatment of migraine with or without aura in adults. Limitations of Use: Use only if a clear diagnosis of migraine headache has been established. If a patient has no response to the first migraine attack treated with sumatriptan nasal spray, reconsider the diagnosis of migraine before sumatriptan nasal spray is administered to treat any subsequent attacks. Sumatriptan nasal spray is not indicated for the prevention of migraine attacks. Safety and effectiveness of sumatriptan nasal spray have not been established for cluster headache. Sumatriptan nasal spray is a serotonin (5-HT 1B/1D ) receptor agonist (triptan) indicated for acute treatmen…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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