NDC codes

FDA NDC Directory
Product NDC (as listed)69238-1258Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69238-1258Add 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
69238-1258-3692381258033 BLISTER PACK in 1 BOX (69238-1258-3) / 10 CAPSULE in 1 BLISTER PACK (69238-1258-4)Marketed from Oct 10, 2025

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)
Isotretinoin
Generic name (nonproprietary)
isotretinoin
Active ingredients
Isotretinoin — 35 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 216097
Marketing start
Listing expires
Other FDA classes
Retinoids (Chemical structure)
Identifiers
Product ID 69238-1258_831e90e7-4cd9-44e1-8f94-b136bcba2b5bSPL ID 831e90e7-4cd9-44e1-8f94-b136bcba2b5bSPL set ID 9f1c8971-c6dc-4708-848b-5cee50b6c32aRxCUI 197843, 197844, 197845, 403930, 1547561, 1547565UNII EH28UP18IFUPC 0369238125443, 0369238125948, 0369238125641, 0369238125542, 0369238125849, 0369238125740
Pharmacologic class
Retinoid

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

N469238125803 followed by a unit qualifier and the quantity

Package 69238-1258-03. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

Isotretinoin capsules are indicated for the treatment of severe recalcitrant nodular acne in non-pregnant patients 12 years of age and older with multiple inflammatory nodules with a diameter of 5 mm or greater. Because of significant adverse reactions associated with its use, isotretinoin capsules are reserved for patients with severe nodular acne who are unresponsive to conventional therapy, including systemic antibiotics. Limitations of Use: If a second course of isotretinoin capsules therapy is needed, it is not recommended before a two-month waiting period because the patient’s acne may continue to improve following a 15 to 20-week course of therapy [see Dosage and Administration (2.2) …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 216097

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

FDA NDC Directory listings under ANDA 216097
ProductStrengthForm · routeLabelerProduct NDC
IsotretinoinIsotretinoin 20 mg/1CapsuleOralAmneal Pharmaceuticals NY LLC69238-1255
IsotretinoinIsotretinoin 10 mg/1CapsuleOralAmneal Pharmaceuticals NY LLC69238-1254
IsotretinoinIsotretinoin 25 mg/1CapsuleOralAmneal Pharmaceuticals NY LLC69238-1256
IsotretinoinIsotretinoin 30 mg/1CapsuleOralAmneal Pharmaceuticals NY LLC69238-1257
IsotretinoinIsotretinoin 40 mg/1CapsuleOralAmneal Pharmaceuticals NY LLC69238-1259

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Isotretinoin NDC 69238-1258 | Med-Code