NDC codes

FDA NDC Directory
Product NDC (as listed)69238-1380Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69238-1380Add 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
69238-1380-3692381380031 BOTTLE in 1 CARTON (69238-1380-3) / 5 mL in 1 BOTTLEMarketed from Nov 18, 2021

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)
Difluprednate
Generic name (nonproprietary)
difluprednate ophthalmic
Active ingredients
Difluprednate — .5 mg/mL
Dosage form
Emulsion
Route
Ophthalmic
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211526
Marketing start
Listing expires
Identifiers
Product ID 69238-1380_61c6afed-db75-4ee3-a7ce-59369192aaf2SPL ID 61c6afed-db75-4ee3-a7ce-59369192aaf2

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

NDC on a medical claim

N469238138003 followed by a unit qualifier and the quantity

Package 69238-1380-03. 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

The FDA listing for this product does not reference a label (SPL) set.

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