What is NDC 69387-001?

69387-001 is the product NDC for Bafiertam (monomethyl fumarate), Monomethyl fumarate 95 mg/1 capsule, listed with the FDA by Banner Life Sciences LLC. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Bafiertam (Monomethyl fumarate).

Banner Life Sciences LLC, NDC labeler code 69387. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Bafiertam?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Bafiertam NDC 69387-001 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)69387-001Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69387-0001Add 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	Copy
69387-001-01	69387000101	120 CAPSULE in 1 BOTTLE (69387-001-01)Marketed from Apr 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): Bafiertam
Generic name (nonproprietary): monomethyl fumarate
Active ingredients: Monomethyl fumarate — 95 mg/1
Dosage form: Capsule
Route: Oral
Labeler: Banner Life Sciences LLCNDC labeler code 69387
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 210296
Marketing start: Apr 28, 2020
Listing expires: Dec 31, 2027
Identifiers: Product ID 69387-001_d0b00bc3-b3e0-4cbd-98a2-69d0b5f9a782SPL ID d0b00bc3-b3e0-4cbd-98a2-69d0b5f9a782SPL set ID a161f9d4-70f1-4097-957a-eafb35d3274fRxCUI 2393587, 2393593UNII 45IUB1PX8RUPC 0369387001018

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

N469387000101 followed by a unit qualifier and the quantity

Package 69387-0001-01. 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

Current FDA label (SPL), effective Jul 16, 2026.

Indications (excerpt from the label)

BAFIERTAM is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. BAFIERTAM is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69387-001

What is NDC 69387-001?: 69387-001 is the product NDC for Bafiertam (monomethyl fumarate), Monomethyl fumarate 95 mg/1 capsule, listed with the FDA by Banner Life Sciences LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Bafiertam (Monomethyl fumarate).
What is the active ingredient?: Monomethyl fumarate.
Who is the labeler?: Banner Life Sciences LLC, NDC labeler code 69387. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Bafiertam?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Bafiertam (Monomethyl fumarate) NDC 69387-001