NDC codes

FDA NDC Directory
Product NDC (as listed)71335-1478Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71335-1478Add 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
71335-1478-0713351478001000 TABLET in 1 BOTTLE (71335-1478-0)Marketed from Jan 16, 2020
71335-1478-171335147801100 TABLET in 1 BOTTLE (71335-1478-1)Marketed from Jan 16, 2020
71335-1478-27133514780230 TABLET in 1 BOTTLE (71335-1478-2)Marketed from Jan 16, 2020
71335-1478-37133514780360 TABLET in 1 BOTTLE (71335-1478-3)Marketed from Jan 16, 2020
71335-1478-4713351478047 TABLET in 1 BOTTLE (71335-1478-4)Marketed from Jan 16, 2020
71335-1478-57133514780514 TABLET in 1 BOTTLE (71335-1478-5)Marketed from Jan 16, 2020
71335-1478-67133514780690 TABLET in 1 BOTTLE (71335-1478-6)Marketed from Jan 16, 2020
71335-1478-77133514780728 TABLET in 1 BOTTLE (71335-1478-7)Marketed from Jan 16, 2020
71335-1478-87133514780856 TABLET in 1 BOTTLE (71335-1478-8)Marketed from Jan 16, 2020
71335-1478-971335147809180 TABLET in 1 BOTTLE (71335-1478-9)Marketed from Jan 16, 2020

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
levothyroxine sodium
Generic name (nonproprietary)
levothyroxine sodium
Active ingredients
Levothyroxine sodium — 100 ug/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021116
Marketing start
Listing expires
Other FDA classes
Thyroxine (Chemical structure)
Identifiers
Product ID 71335-1478_5dd258ee-53fd-4e60-b3c9-b3cfacd622bfSPL ID 5dd258ee-53fd-4e60-b3c9-b3cfacd622bfSPL set ID 9e3bffb9-f66e-4c73-befc-e60d769f6610RxCUI 892246, 892251, 966220, 966221, 966222, 966224, 966225, 966248, 966249, 966253, 966270UNII 9J765S329G
Pharmacologic class
l-Thyroxine

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

N471335147800 followed by a unit qualifier and the quantity

Package 71335-1478-00. 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)

Hypothyroidism Levothyroxine Sodium Tablets are indicated in adult and pediatric patients, including neonates, as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression Levothyroxine Sodium Tablets are indicated in adult and pediatric patients, including neonates, as an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer. Limitations of Use Levothyroxine Sodium Tablets are not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021116

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

FDA NDC Directory listings under NDA 021116
ProductStrengthForm · routeLabelerProduct NDC
levothyroxine sodiumLevothyroxine sodium 75 ug/1TabletOralProficient Rx LP71205-353
levothyroxine sodiumLevothyroxine sodium 25 ug/1TabletOralBryant Ranch Prepack71335-1447
levothyroxine sodiumLevothyroxine sodium 137 ug/1TabletOralProficient Rx LP71205-354
levothyroxine sodiumLevothyroxine sodium 75 ug/1TabletOralBryant Ranch Prepack71335-1423
levothyroxine sodiumLevothyroxine sodium 200 ug/1TabletOralBryant Ranch Prepack71335-1435
levothyroxine sodiumLevothyroxine sodium 50 ug/1TabletOralProficient Rx LP71205-352
levothyroxine sodiumLevothyroxine sodium 88 ug/1TabletOralBryant Ranch Prepack71335-1438
levothyroxine sodiumLevothyroxine sodium 100 ug/1TabletOralProficient Rx LP71205-351
levothyroxine sodiumLevothyroxine sodium 125 ug/1TabletOralBryant Ranch Prepack71335-1456
levothyroxine sodiumLevothyroxine sodium 112 ug/1TabletOralBryant Ranch Prepack71335-1465
levothyroxine sodiumLevothyroxine sodium 75 ug/1TabletOralAlvogen, Inc.47781-646
levothyroxine sodiumLevothyroxine sodium 25 ug/1TabletOralAlvogen, Inc.47781-640
levothyroxine sodiumLevothyroxine sodium 50 ug/1TabletOralAlvogen, Inc.47781-643
levothyroxine sodiumLevothyroxine sodium 112 ug/1TabletOralAlvogen, Inc.47781-654
Levothyroxine SodiumLevothyroxine sodium 112 ug/1TabletOralDIRECT RX72189-159
levothyroxine sodiumLevothyroxine sodium 88 ug/1TabletOralAlvogen, Inc.47781-649
Levothyroxine SodiumLevothyroxine sodium 50 ug/1TabletOralDIRECT RX72189-155
levothyroxine sodiumLevothyroxine sodium 100 ug/1TabletOralAlvogen, Inc.47781-651
levothyroxine sodiumLevothyroxine sodium 150 ug/1TabletOralAlvogen, Inc.47781-662
levothyroxine sodiumLevothyroxine sodium 125 ug/1TabletOralAlvogen, Inc.47781-657

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