NDC codes

FDA NDC Directory
Product NDC (as listed)70839-359Labeler and product segments. Claims need a package NDC.
Product NDC at billing width70839-0359Add 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
70839-359-04708390359041 BOTTLE, GLASS in 1 CARTON (70839-359-04) / 4 mL in 1 BOTTLE, GLASSMarketed from Feb 9, 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)
Goprelto
Generic name (nonproprietary)
cocaine hydrochloride
Active ingredients
Cocaine hydrochloride — 40 mg/mL
Dosage form
Solution
Route
Nasal
Labeler
LXO US Inc.NDC labeler code 70839
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 209963
Marketing start
Listing expires
DEA schedule
CII
Identifiers
Product ID 70839-359_0f897764-fe31-090a-e063-6294a90af106SPL ID 0f897764-fe31-090a-e063-6294a90af106SPL set ID 0f897764-fe30-090a-e063-6294a90af106RxCUI 1995288, 1995293UNII XH8T8T6WZH

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

NDC on a medical claim

N470839035904 followed by a unit qualifier and the quantity

Package 70839-0359-04. 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)

GOPRELTO (cocaine hydrochloride) nasal solution is indicated for the induction of local anesthesia of the mucous membranes when performing diagnostic procedures and surgeries on or through the nasal cavities in adults. GOPRELTO (cocaine hydrochloride) nasal solution is an ester local anesthetic indicated for the induction of local anesthesia of the mucous membranes when performing diagnostic procedures and surgeries on or through the nasal cavities in adults. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 70839-359

What is NDC 70839-359?
70839-359 is the product NDC for Goprelto (cocaine hydrochloride), Cocaine hydrochloride 40 mg/mL solution, listed with the FDA by LXO US Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Goprelto (Cocaine hydrochloride).
What is the active ingredient?
Cocaine hydrochloride.
Who is the labeler?
LXO US Inc., NDC labeler code 70839. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Goprelto?
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.

Other NDCs under NDA 209963

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

FDA NDC Directory listings under NDA 209963
ProductStrengthForm · routeLabelerProduct NDC
Cocaine HydrochlorideCocaine hydrochloride 40 mg/mLSolutionNasalLXO US INC.70839-362

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