NDC codes

FDA NDC Directory
Product NDC (as listed)72603-875Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72603-0875Add 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
72603-875-03726030875033 POUCH in 1 CARTON (72603-875-03) / 1 BLISTER PACK in 1 POUCH (72603-875-01) / 1 KIT in 1 BLISTER PACKMarketed from Sep 1, 2025

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)
Drospirenone and Ethinyl Estradiol
Generic name (nonproprietary)
drospirenone and ethinyl estradiol
Dosage form
Kit
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209632
Marketing start
Listing expires
Identifiers
Product ID 72603-875_c88c3eb8-3bf5-4004-a7ab-7218cd2f9182SPL ID c88c3eb8-3bf5-4004-a7ab-7218cd2f9182SPL set ID c88c3eb8-3bf5-4004-a7ab-7218cd2f9182RxCUI 630734, 748797, 748798

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N472603087503 followed by a unit qualifier and the quantity

Package 72603-0875-03. 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)

Drospirenone and ethinyl estradiol tablets are a combination of drospirenone, a progestin, and ethinyl estradiol, an estrogen, indicated for use by females of reproductive potential to: Prevent pregnancy. ( 1.1 ) Treat symptoms of premenstrual dysphoric disorder (PMDD) for females of reproductive potential who choose to use an oral contraceptive for contraception. ( 1.2 ) Treat moderate acne for women at least 14 years old only if the patient desires an oral contraceptive for birth control. ( 1.3 ) 1.1 Oral Contraceptive Drospirenone and ethinyl estradiol tablets are indicated for use by females of reproductive potential to prevent pregnancy. 1.2 Premenstrual Dysphoric Disorder (PMDD) Drospi…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209632

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

FDA NDC Directory listings under ANDA 209632
ProductStrengthForm · routeLabelerProduct NDC
Lo-Zumandiminedrospirenone and ethinyl estradiol—KitAurobindo Pharma Limited59651-029
Jasmieldrospirenone and ethinyl estradiol—KitAfaxys Pharma, LLC50102-240

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