NDC codes

FDA NDC Directory
Product NDC (as listed)69102-105Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69102-0105Add 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
69102-105-0169102010501120 TABLET in 1 BOTTLE (69102-105-01)Marketed from Oct 28, 2020

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)
Levetiracetam
Generic name (nonproprietary)
levetiracetam
Active ingredients
Levetiracetam — 500 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078858
Marketing start
Listing expires
Other FDA classes
Decreased Central Nervous System Disorganized Electrical Activity (Physiologic effect)
Identifiers
Product ID 69102-105_c7262ce0-c186-487b-9808-b340d31d8fe4SPL ID c7262ce0-c186-487b-9808-b340d31d8fe4SPL set ID e662bf5b-c81c-4bcd-ba2e-552df95ca6f9RxCUI 311288, 311289, 311290, 387003, 1875868UNII 44YRR34555UPC 0369102107018, 0369102106011

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

N469102010501 followed by a unit qualifier and the quantity

Package 69102-0105-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 078858

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

FDA NDC Directory listings under ANDA 078858
ProductStrengthForm · routeLabelerProduct NDC
LevetiracetamLevetiracetam 750 mg/1TabletOralOWP Pharmaceuticals, Inc.69102-106
LevetiracetamLevetiracetam 500 mg/1TabletOralTorrent Pharmaceuticals Limited13668-015
LevetiracetamLevetiracetam 1000 mg/1TabletOralOWP Pharmaceuticals, Inc.69102-107
LevetiracetamLevetiracetam 250 mg/1TabletOralTorrent Pharmaceuticals Limited13668-014
RoweepralevetiracetamLevetiracetam 250 mg/1TabletOralOWP Pharmaceuticals, Inc.69102-108
LevetiracetamLevetiracetam 750 mg/1TabletOralTorrent Pharmaceuticals Limited13668-016
LevetiracetamLevetiracetam 1000 mg/1TabletOralTorrent Pharmaceuticals Limited13668-017
LevetiracetamLevetiracetam 500 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.43063-499
LevetiracetamLevetiracetam 500 mg/1TabletOralBryant Ranch Prepack71335-2282

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