NDC codes

FDA NDC Directory
Product NDC (as listed)71770-105Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71770-0105Add 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
71770-105-60717700105601 BOTTLE in 1 CARTON (71770-105-60) / 60 TABLET, FILM COATED in 1 BOTTLEMarketed from Oct 15, 2020

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)
Siklos
Generic name (nonproprietary)
hydroxyurea
Active ingredients
Hydroxyurea — 100 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
MedunikNDC labeler code 71770
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 208843
Marketing start
Listing expires
Other FDA classes
Urea (Chemical structure)
Identifiers
Product ID 71770-105_47d0b61d-ad65-d2e0-e063-6294a90afe50SPL ID 47d0b61d-ad65-d2e0-e063-6294a90afe50SPL set ID 76957c0d-0f98-4376-bb06-eee651adc09dRxCUI 283475, 1999308, 1999314, 1999316UNII X6Q56QN5QC
Pharmacologic class
Antimetabolite

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

N471770010560 followed by a unit qualifier and the quantity

Package 71770-0105-60. 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)

SIKLOS ® is indicated to reduce the frequency of painful crises and to reduce the need for blood transfusions in adult and pediatric patients, 2 years of age and older, with sickle cell anemia with recurrent moderate to severe painful crises SIKLOS is an antimetabolite, indicated to reduce the frequency of painful crises and to reduce the need for blood transfusions in adult and pediatric patients, 2 years of age and older, with sickle cell anemia with recurrent moderate to severe painful crises. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71770-105

What is NDC 71770-105?
71770-105 is the product NDC for Siklos (hydroxyurea), Hydroxyurea 100 mg/1 tablet, film coated, listed with the FDA by Medunik. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Siklos (Hydroxyurea).
What is the active ingredient?
Hydroxyurea.
Who is the labeler?
Medunik, NDC labeler code 71770. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Siklos?
1 other product NDC are listed under this name. See all Siklos 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 Siklos NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
SikloshydroxyureaHydroxyurea 1000 mg/1Tablet, Film coatedOralMedunik71770-12071770-0120-30

Other NDCs under NDA 208843

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

FDA NDC Directory listings under NDA 208843
ProductStrengthForm · routeLabelerProduct NDC
SikloshydroxyureaHydroxyurea 1000 mg/1Tablet, Film coatedOralMedunik71770-120

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