NDC codes

FDA NDC Directory
Product NDC (as listed)70700-123Labeler and product segments. Claims need a package NDC.
Product NDC at billing width70700-0123Add 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
70700-123-87707000123871 BLISTER PACK in 1 BOX (70700-123-87) / 1 KIT in 1 BLISTER PACKMarketed from Jan 1, 2018

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)
Jaimiess
Generic name (nonproprietary)
levonorgestrel / ethinyl estradiol and ethinyl estradiol
Dosage form
Kit
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203770
Marketing start
Listing expires
Identifiers
Product ID 70700-123_99b59a89-1937-6cad-e31b-dc192f9f3891SPL ID 99b59a89-1937-6cad-e31b-dc192f9f3891SPL set ID 7fe3a0d4-533f-0bdf-e60a-20c69bdf79fcRxCUI 238019, 248310, 749761, 2001751UPC 0370700123874

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

N470700012387 followed by a unit qualifier and the quantity

Package 70700-0123-87. 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)

Jaimiess is indicated for use by females of reproductive potential to prevent pregnancy. Jaimiess is a combination of levonorgestrel, a progestin, and ethinyl estradiol, an estrogen, indicated for use by females of reproductive potential to prevent pregnancy. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 203770

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

FDA NDC Directory listings under ANDA 203770
ProductStrengthForm · routeLabelerProduct NDC
Jaimiesslevonorgestrel / ethinyl estradiol and ethinyl estradiol—KitBryant Ranch Prepack63629-2345

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