NDC codes

FDA NDC Directory
Product NDC (as listed)69315-404Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69315-0404Add 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
69315-404-57693150404571 KIT in 1 BOX (69315-404-57) * 11 TABLET, FILM COATED in 1 BLISTER PACK * 42 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Oct 1, 2023

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)
Varenicline Tartrate
Generic name (nonproprietary)
varenicline tartrate
Dosage form
Kit
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 217151
Marketing start
Listing expires
Identifiers
Product ID 69315-404_cd15d74e-92d3-4bf0-8c76-a01f9190b172SPL ID cd15d74e-92d3-4bf0-8c76-a01f9190b172SPL set ID fdb36cfa-d20a-4fd9-b994-a5d16e4bb438RxCUI 636671, 636676, 749289, 749788UNII 82269ASB48UPC 0369315403563, 0369315402566

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N469315040457 followed by a unit qualifier and the quantity

Package 69315-0404-57. 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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