NDC codes

FDA NDC Directory
Product NDC (as listed)71858-0120Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71858-0120Add 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
71858-0120-2718580120026 POUCH in 1 CARTON (71858-0120-2) / 5 AMPULE in 1 POUCH (71858-0120-4) / 1 mL in 1 AMPULE (71858-0120-6)Marketed from Jul 25, 2025 · Sample package
71858-0120-5718580120056 POUCH in 1 CARTON (71858-0120-5) / 5 AMPULE in 1 POUCH (71858-0120-4) / 1 mL in 1 AMPULE (71858-0120-6)Marketed from Mar 1, 2019

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)
Tirosint SOLSuffix: SOL
Generic name (nonproprietary)
levothyroxine sodium
Active ingredients
Levothyroxine sodium — 75 ug/mL
Dosage form
Solution
Route
Oral
Labeler
IBSA Pharma Inc.NDC labeler code 71858
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 206977
Marketing start
Listing expires
Other FDA classes
Thyroxine (Chemical structure)
Identifiers
Product ID 71858-0120_4e04737b-8d88-7c75-e063-6394a90a34c0SPL ID 4e04737b-8d88-7c75-e063-6394a90a34c0SPL set ID 5d378add-f13d-40f2-99dc-0f2340ab44b7RxCUI 2056462, 2056466, 2056468, 2056470, 2056472, 2056474, 2056476, 2056478, 2056480, 2056482, 2056484, 2056486, 2056488, 2056490, 2056492, 2056494, 2056496, 2056498, 2056500, 2056502, 2056504, 2056506, 2056508, 2056510, 2566608, 2566610, 2566613, 2566615, 2566617, 2566619UNII 9J765S329GUPC 0371858011754, 0371858013055, 0371858012553, 0371858011556, 0371858015554, 0371858013550, 0371858015059, 0371858014052, 0371858016056, 0371858014557, 0371858010559, 0371858011358, 0371858011259, 0371858011051, 0371858012058
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

N471858012002 followed by a unit qualifier and the quantity

Package 71858-0120-02. 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)

1 INDICATION AND USAGE TIROSINT-SOL is L-thyroxine (T4) indicated in adult and pediatric patients, including neonates, for: Hypothyroidism - As replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism ( 1 ) Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression - As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well-differentiated thyroid cancer ( 1 ) Limitations of Use Not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients ( 1 ) Not indicated for treatment of transient hypothyroidism during the recover…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71858-0120

What is NDC 71858-0120?
71858-0120 is the product NDC for Tirosint SOL (levothyroxine sodium), Levothyroxine sodium 75 ug/mL solution, listed with the FDA by IBSA Pharma Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Tirosint SOL (Levothyroxine Sodium).
What is the active ingredient?
Levothyroxine sodium.
Who is the labeler?
IBSA Pharma Inc., NDC labeler code 71858. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Tirosint SOL?
14 other product NDCs are listed under this name. See all Tirosint SOL 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 Tirosint SOL NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 37.5 ug/mLSolutionOralIBSA Pharma Inc.71858-011271858-0112-0271858-0112-05
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 44 ug/mLSolutionOralIBSA Pharma Inc.71858-011371858-0113-0271858-0113-05
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 62.5 ug/mLSolutionOralIBSA Pharma Inc.71858-011771858-0117-0271858-0117-05
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 13 ug/mLSolutionOralIBSA Pharma Inc.71858-010571858-0105-0271858-0105-05
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 25 ug/mLSolutionOralIBSA Pharma Inc.71858-011071858-0110-0271858-0110-05
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 50 ug/mLSolutionOralIBSA Pharma Inc.71858-011571858-0115-0271858-0115-05
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 88 ug/mLSolutionOralIBSA Pharma Inc.71858-012571858-0125-0271858-0125-05
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 100 ug/mLSolutionOralIBSA Pharma Inc.71858-013071858-0130-0271858-0130-05
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 112 ug/mLSolutionOralIBSA Pharma Inc.71858-013571858-0135-0271858-0135-05
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 125 ug/mLSolutionOralIBSA Pharma Inc.71858-014071858-0140-0271858-0140-05

All 15 Tirosint SOL NDCs

Other NDCs under NDA 206977

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

FDA NDC Directory listings under NDA 206977
ProductStrengthForm · routeLabelerProduct NDC
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 13 ug/mLSolutionOralIBSA Pharma Inc.71858-0105
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 44 ug/mLSolutionOralIBSA Pharma Inc.71858-0113
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 25 ug/mLSolutionOralIBSA Pharma Inc.71858-0110
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 37.5 ug/mLSolutionOralIBSA Pharma Inc.71858-0112
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 88 ug/mLSolutionOralIBSA Pharma Inc.71858-0125
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 50 ug/mLSolutionOralIBSA Pharma Inc.71858-0115
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 62.5 ug/mLSolutionOralIBSA Pharma Inc.71858-0117
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 100 ug/mLSolutionOralIBSA Pharma Inc.71858-0130
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 112 ug/mLSolutionOralIBSA Pharma Inc.71858-0135
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 125 ug/mLSolutionOralIBSA Pharma Inc.71858-0140
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 200 ug/mLSolutionOralIBSA Pharma Inc.71858-0160
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 137 ug/mLSolutionOralIBSA Pharma Inc.71858-0145
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 150 ug/mLSolutionOralIBSA Pharma Inc.71858-0150
Tirosint SOLlevothyroxine sodiumLevothyroxine sodium 175 ug/mLSolutionOralIBSA Pharma Inc.71858-0155

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