Fenofibrate NDC 69097-895

NDC codes

FDA NDC Directory

Product NDC (as listed)69097-895Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69097-0895Add 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 NDC	11-digit (billing)	Package
69097-895-02	69097089502	30 CAPSULE in 1 BOTTLE, PLASTIC (69097-895-02)Marketed from Mar 30, 2017
69097-895-07	69097089507	100 CAPSULE in 1 BOTTLE, PLASTIC (69097-895-07)Marketed from Mar 30, 2017
69097-895-12	69097089512	500 CAPSULE in 1 BOTTLE, PLASTIC (69097-895-12)Marketed from Mar 30, 2017

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): Fenofibrate
Generic name (nonproprietary): fenofibrate
Active ingredients: Fenofibrate — 134 mg/1
Dosage form: Capsule
Route: Oral
Labeler: Cipla USA Inc.,
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 207378
Marketing start: Mar 30, 2017
Listing expires: Dec 31, 2026
Identifiers: Product ID 69097-895_06d917b6-6950-4b49-b830-a1fa0b8ac0b1SPL ID 06d917b6-6950-4b49-b830-a1fa0b8ac0b1SPL set ID 07d47c02-ab29-4ba9-aea0-96ffbd70c0efRxCUI 200311, 310288, 310289UNII U202363UOSUPC 0369097896072, 0369097895075
Pharmacologic class: Peroxisome Proliferator Receptor alpha 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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N469097089502 followed by a unit qualifier and the quantity

Package 69097-0895-02. 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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