NDC codes

FDA NDC Directory
Product NDC (as listed)71205-777Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71205-0777Add 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
71205-777-06712050777066 TABLET, FILM COATED in 1 BOTTLE (71205-777-06)Marketed from Oct 3, 2024
71205-777-147120507771414 TABLET, FILM COATED in 1 BOTTLE (71205-777-14)Marketed from Mar 15, 2023
71205-777-307120507773030 TABLET, FILM COATED in 1 BOTTLE (71205-777-30)Marketed from Mar 15, 2023
71205-777-607120507776060 TABLET, FILM COATED in 1 BOTTLE (71205-777-60)Marketed from Mar 15, 2023
71205-777-907120507779090 TABLET, FILM COATED in 1 BOTTLE (71205-777-90)Marketed from Mar 15, 2023

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)
Isentress
Generic name (nonproprietary)
raltegravir
Active ingredients
Raltegravir potassium — 400 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Proficient Rx LPNDC labeler code 71205
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022145
Marketing start
Listing expires
Other FDA classes
HIV Integrase Inhibitors (Mechanism)
Identifiers
Product ID 71205-777_4cb3ef64-0fec-45c7-9c7f-5cca90c7a517SPL ID 4cb3ef64-0fec-45c7-9c7f-5cca90c7a517SPL set ID ccc6f2f9-696f-4ef9-bb4c-e0198d957b0bRxCUI 744842, 744846UNII 43Y000U234UPC 0371205777142
Pharmacologic class
Human Immunodeficiency Virus Integrase Strand Transfer Inhibitor

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

N471205077706 followed by a unit qualifier and the quantity

Package 71205-0777-06. 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 .

Indications (excerpt from the label)

Adult Patients: ISENTRESS and ISENTRESS HD are human immunodeficiency virus integrase strand transfer inhibitors (HIV-1 INSTI) indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in adult patients ( 1 ). Pediatric Patients: ISENTRESS is indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in pediatric patients weighing at least 2 kg ( 1 ). ISENTRESS HD is indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in pediatric patients weighing at least 40 kg ( 1 ). Adult Patients: ISENTRESS ® and ISENTRESS ® HD are indicated in combination with other antiretroviral agents …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71205-777

What is NDC 71205-777?
71205-777 is the product NDC for Isentress (raltegravir), Raltegravir potassium 400 mg/1 tablet, film coated, listed with the FDA by Proficient Rx LP. It has 5 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Isentress (Raltegravir).
What is the active ingredient?
Raltegravir potassium.
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 Isentress?
7 other product NDCs are listed under this name. See all Isentress 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 Isentress NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
IsentressraltegravirRaltegravir potassium 600 mg/1Tablet, Film coatedOralMerck Sharp & Dohme LLC0006-308000006-3080-01
IsentressraltegravirRaltegravir potassium 100 mg/1Granule, For suspensionOralMerck Sharp & Dohme LLC0006-360300006-3603-6000006-3603-61
IsentressraltegravirRaltegravir potassium 25 mg/1Tablet, ChewableOralMerck Sharp & Dohme LLC0006-047300006-0473-61
IsentressraltegravirRaltegravir potassium 100 mg/1Tablet, ChewableOralMerck Sharp & Dohme LLC0006-047700006-0477-61
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralMerck Sharp & Dohme LLC0006-022700006-0227-61
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-108550090-1085-00
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-211368071-2113-06

Other NDCs under NDA 022145

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

FDA NDC Directory listings under NDA 022145
ProductStrengthForm · routeLabelerProduct NDC
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralMerck Sharp & Dohme LLC0006-0227
IsentressraltegravirRaltegravir potassium 600 mg/1Tablet, Film coatedOralMerck Sharp & Dohme LLC0006-3080
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-1085
IsentressraltegravirRaltegravir potassium 400 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals,Inc.68071-2113

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