NDC codes

FDA NDC Directory
Product NDC (as listed)72542-667Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72542-0667Add 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
72542-667-187254206671890 BOX in 1 CARTON (72542-667-18) / 1 KIT in 1 BOX (72542-667-02) * 1 FOR SUSPENSION in 1 PACKET (72542-367-01) * 1 FOR SUSPENSION in 1 PACKET (72542-000-01) * 1 FOR SUSPENSION in 1 PACKET (72542-003-01)Marketed from Dec 22, 2022

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)
Olpruva
Generic name (nonproprietary)
sodium phenylbutyrate
Dosage form
Kit
Route
Oral
Labeler
Acer Therapeutics Inc.NDC labeler code 72542
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 214860
Marketing start
Listing expires
Identifiers
Product ID 72542-667_7720f74d-f161-4aaa-a421-7bf48e6c962cSPL ID 7720f74d-f161-4aaa-a421-7bf48e6c962c

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

N472542066718 followed by a unit qualifier and the quantity

Package 72542-0667-18. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 72542-667

What is NDC 72542-667?
72542-667 is the product NDC for Olpruva (sodium phenylbutyrate) kit, listed with the FDA by Acer Therapeutics Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Olpruva (Sodium phenylbutyrate).
Who is the labeler?
Acer Therapeutics Inc., NDC labeler code 72542. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Olpruva?
5 other product NDCs are listed under this name. See all Olpruva 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 Olpruva NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Olpruvasodium phenylbutyrate—KitOralAcer Therapeutics Inc.72542-20072542-0200-09
Olpruvasodium phenylbutyrate—KitOralAcer Therapeutics Inc.72542-30072542-0300-09
Olpruvasodium phenylbutyrate—KitOralAcer Therapeutics Inc.72542-40072542-0400-18
Olpruvasodium phenylbutyrate—KitOralAcer Therapeutics Inc.72542-50072542-0500-18
Olpruvasodium phenylbutyrate—KitOralAcer Therapeutics Inc.72542-60072542-0600-18

Other NDCs under NDA 214860

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

FDA NDC Directory listings under NDA 214860
ProductStrengthForm · routeLabelerProduct NDC
Olpruvasodium phenylbutyrate—KitOralAcer Therapeutics Inc.72542-200
Olpruvasodium phenylbutyrate—KitOralAcer Therapeutics Inc.72542-300
Olpruvasodium phenylbutyrate—KitOralAcer Therapeutics Inc.72542-400
Olpruvasodium phenylbutyrate—KitOralAcer Therapeutics Inc.72542-500
Olpruvasodium phenylbutyrate—KitOralAcer Therapeutics Inc.72542-600

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