NDC codes

FDA NDC Directory
Product NDC (as listed)69452-434Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69452-0434Add 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
69452-434-136945204341330 TABLET, DELAYED RELEASE in 1 BOTTLE (69452-434-13)Marketed from Jun 26, 2024
69452-434-2069452043420100 TABLET, DELAYED RELEASE in 1 BOTTLE (69452-434-20)Marketed from Jun 26, 2024
69452-434-3069452043430500 TABLET, DELAYED RELEASE in 1 BOTTLE (69452-434-30)Marketed from Jun 26, 2024

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)
divalproex sodium
Generic name (nonproprietary)
divalproex sodium
Active ingredients
Divalproex sodium — 250 mg/1
Dosage form
Tablet, Delayed release
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078853
Marketing start
Listing expires
Other FDA classes
Decreased Central Nervous System Disorganized Electrical Activity (Physiologic effect)
Identifiers
Product ID 69452-434_ba8a3e85-d09c-4e11-820d-1a6e45974fddSPL ID ba8a3e85-d09c-4e11-820d-1a6e45974fddSPL set ID 19064624-81d1-4ce3-bfe4-955bad6af6a2RxCUI 1099625, 1099678, 1099870UNII 644VL95AO6
Pharmacologic class
Anti-epileptic Agent; Mood Stabilizer

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

N469452043413 followed by a unit qualifier and the quantity

Package 69452-0434-13. 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)

Divalproex sodium delayed-release tablets are an anti-epileptic drug indicated for: Treatment of manic episodes associated with bipolar disorder (1.1) Monotherapy and adjunctive therapy of complex partial seizures and simple and complex absence seizures; adjunctive therapy in patients with multiple seizure types that include absence seizures (1.2) Prophylaxis of migraine headaches (1.3) 1.1 Mania Divalproex sodium is a valproate and is indicated for the treatment of the manic episodes associated with bipolar disorder. A manic episode is a distinct period of abnormally and persistently elevated, expansive, or irritable mood. Typical symptoms of mania include pressure of speech, motor hyperact…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 078853

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

FDA NDC Directory listings under ANDA 078853
ProductStrengthForm · routeLabelerProduct NDC
divalproex sodiumDivalproex sodium 500 mg/1Tablet, Delayed releaseOralBionpharma Inc.69452-435
divalproex sodiumDivalproex sodium 125 mg/1Tablet, Delayed releaseOralBionpharma Inc.69452-433
divalproex sodiumDivalproex sodium 250 mg/1Tablet, Delayed releaseOralProficient Rx LP82804-233
divalproex sodiumDivalproex sodium 250 mg/1Tablet, Delayed releaseOralPreferred Pharmaceuticals Inc.68788-4079
divalproex sodiumDivalproex sodium 250 mg/1Tablet, Delayed releaseOralA-S Medication Solutions50090-7763
divalproex sodiumDivalproex sodium 500 mg/1Tablet, Delayed releaseOralBryant Ranch Prepack71335-2782
divalproex sodiumDivalproex sodium 250 mg/1Tablet, Delayed releaseOralBryant Ranch Prepack71335-2783
divalproex sodiumDivalproex sodium 500 mg/1Tablet, Delayed releaseOralCoupler LLC67046-1647
divalproex sodiumDivalproex sodium 125 mg/1Tablet, Delayed releaseOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8586
divalproex sodiumDivalproex sodium 250 mg/1Tablet, Delayed releaseOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8587
divalproex sodiumDivalproex sodium 500 mg/1Tablet, Delayed releaseOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8588
divalproex sodiumDivalproex sodium 250 mg/1Tablet, Delayed releaseOralCoupler LLC67046-1683

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