NDC codes

FDA NDC Directory
Product NDC (as listed)72189-517Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72189-0517Add 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
72189-517-06721890517066 TABLET, FILM COATED in 1 CARTON (72189-517-06)Marketed from Oct 11, 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)
Eletriptan HBR
Generic name (nonproprietary)
eletriptan hbr
Active ingredients
Eletriptan hydrobromide — 40 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Direct_RxNDC labeler code 72189
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210708
Marketing start
Listing expires
Other FDA classes
Serotonin 1b Receptor Agonists (Mechanism)Serotonin 1d Receptor Agonists (Mechanism)
Identifiers
Product ID 72189-517_2c4e7a35-ff54-4971-e063-6294a90ae9dfSPL ID 2c4e7a35-ff54-4971-e063-6294a90ae9dfSPL set ID 077134d1-427d-6235-e063-6394a90abcf6RxCUI 359494UNII M41W832TA3
Pharmacologic class
Serotonin-1b and Serotonin-1d Receptor Agonist

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

N472189051706 followed by a unit qualifier and the quantity

Package 72189-0517-06. 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)

Eletriptan hydrobromide tablets are indicated for the acute treatment of migraine with or without aura in adults. Limitations of Use: Use only if a clear diagnosis of migraine has been established. If a patient has no response to the first migraine attack treated with eletriptan hydrobromide tablets, reconsider the diagnosis of migraine before eletriptan hydrobromide tablets are administered to treat any subsequent attacks. Eletriptan hydrobromide tablets are not intended for the prevention of migraine attacks. Safety and effectiveness of eletriptan hydrobromide tablets have not been established for cluster headache.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72189-517

What is NDC 72189-517?
72189-517 is the product NDC for Eletriptan HBR, Eletriptan hydrobromide 40 mg/1 tablet, film coated, listed with the FDA by Direct_Rx. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Eletriptan HBR.
What is the active ingredient?
Eletriptan hydrobromide.
Who is the labeler?
Direct_Rx, NDC labeler code 72189. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Eletriptan HBR?
1 other product NDC are listed under this name. See all Eletriptan HBR 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 Eletriptan HBR NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Eletriptan HBREletriptan hydrobromide 40 mg/1Tablet, Film coatedOralDirect_Rx72189-43972189-0439-06

Other NDCs under ANDA 210708

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

FDA NDC Directory listings under ANDA 210708
ProductStrengthForm · routeLabelerProduct NDC
Eletriptan HydrobromideEletriptan hydrobromide 20 mg/1Tablet, Film coatedOralAurobindo Pharma Limited59651-104
Eletriptan HydrobromideEletriptan hydrobromide 40 mg/1Tablet, Film coatedOralAurobindo Pharma Limited59651-105
Eletriptan HydrobromideEletriptan hydrobromide 40 mg/1Tablet, Film coatedOralBryant Ranch Prepack63629-8320
Eletriptan HydrobromideEletriptan hydrobromide 40 mg/1Tablet, Film coatedOralAdvanced Rx of Tennessee, LLC80425-0408

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