NDC codes

FDA NDC Directory
Product NDC (as listed)71205-174Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71205-0174Add 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
71205-174-30712050174307120501743030 TABLET, FILM COATED in 1 BOTTLE (71205-174-30)Marketed from Dec 1, 2018
71205-174-60712050174607120501746060 TABLET, FILM COATED in 1 BOTTLE (71205-174-60)Marketed from Dec 1, 2018
71205-174-90712050174907120501749090 TABLET, FILM COATED in 1 BOTTLE (71205-174-90)Marketed from Dec 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)
Olmesartan Medoxomil
Generic name (nonproprietary)
olmesartan medoxomil
Active ingredients
Olmesartan medoxomil — 40 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Proficient Rx LPNDC labeler code 71205
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204798
Marketing start
Listing expires
Other FDA classes
Angiotensin 2 Receptor Antagonists (Mechanism)
Identifiers
Product ID 71205-174_bfc9129b-05ad-4ae3-b701-73f9cc0ae9e1SPL ID bfc9129b-05ad-4ae3-b701-73f9cc0ae9e1SPL set ID e210f962-9b91-46c6-af8f-9f9a9ae84245RxCUI 349401, 349405UNII 6M97XTV3HD

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

N471205017430 followed by a unit qualifier and the quantity

Package 71205-0174-30. 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)

Olmesartan medoxomil tablets are indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes including the class to which this drug principally belongs. There are no controlled trials demonstrating risk reduction with olmesartan medoxomil tablets. Control of high blood pressure should be part of comprehensive cardiovascular risk management, including, as appropriate, lipid control, diabetes management, antithrombotic therapy, smokin…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71205-174

What is NDC 71205-174?
71205-174 is the product NDC for Olmesartan Medoxomil, Olmesartan medoxomil 40 mg/1 tablet, film coated, listed with the FDA by Proficient Rx LP. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Olmesartan Medoxomil.
What is the active ingredient?
Olmesartan medoxomil.
Who is the labeler?
Proficient Rx LP, NDC labeler code 71205. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Olmesartan Medoxomil?
122 other product NDCs are listed under this name. See all Olmesartan Medoxomil NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Olmesartan Medoxomil NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Olmesartan medoxomilOlmesartan medoxomil 5 mg/1TabletOralNorthStar RxLLC72603-95072603-0950-0172603-0950-02
Olmesartan medoxomilOlmesartan medoxomil 20 mg/1TabletOralNorthStar RxLLC72603-95172603-0951-0172603-0951-02
Olmesartan medoxomilOlmesartan medoxomil 40 mg/1TabletOralNorthStar RxLLC72603-95272603-0952-0172603-0952-02
Olmesartan MedoxomilOlmesartan medoxomil 5 mg/1Tablet, Film coatedOralHEC Pharm USA Inc.72303-084872303-0848-0172303-0848-02
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1Tablet, Film coatedOralHEC Pharm USA Inc.72303-084972303-0849-0172303-0849-02
Olmesartan MedoxomilOlmesartan medoxomil 40 mg/1Tablet, Film coatedOralHEC Pharm USA Inc.72303-085072303-0850-0172303-0850-02
Olmesartan medoxomilOlmesartan medoxomil 20 mg/1TabletOralREMEDYREPACK INC.70518-459870518-4598-00
Olmesartan MedoxomilOlmesartan medoxomil 40 mg/1TabletOralUmedica Laboratories USA Inc.60290-01160290-0011-0160290-0011-0260290-0011-03
Olmesartan MedoxomilOlmesartan medoxomil 5 mg/1TabletOralUmedica Laboratories USA Inc.60290-00960290-0009-0160290-0009-0260290-0009-03
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1TabletOralUmedica Laboratories USA Inc.60290-01060290-0010-0160290-0010-0260290-0010-03

All 123 Olmesartan Medoxomil NDCs

Other NDCs under ANDA 204798

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

FDA NDC Directory listings under ANDA 204798
ProductStrengthForm · routeLabelerProduct NDC
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1Tablet, Film coatedOralAurobindo Pharma Limited65862-742
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1Tablet, Film coatedOralProficient Rx LP71205-172
Olmesartan MedoxomilOlmesartan medoxomil 40 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-2362
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1Tablet, Film coatedOralDirect_Rx72189-548
Olmesartan MedoxomilOlmesartan medoxomil 40 mg/1Tablet, Film coatedOralDirect_Rx72189-549
Olmesartan MedoxomilOlmesartan medoxomil 5 mg/1Tablet, Film coatedOralQUALLENT PHARMACEUTICALS HEALTH LLC82009-073
Olmesartan MedoxomilOlmesartan medoxomil 20 mg/1Tablet, Film coatedOralQUALLENT PHARMACEUTICALS HEALTH LLC82009-074
Olmesartan MedoxomilOlmesartan medoxomil 40 mg/1Tablet, Film coatedOralQUALLENT PHARMACEUTICALS HEALTH LLC82009-075

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