NDC codes

FDA NDC Directory
Product NDC (as listed)72657-123Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72657-0123Add 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
72657-123-11726570123111 BLISTER PACK in 1 CARTON (72657-123-11) / 1 TABLET in 1 BLISTER PACKMarketed from Feb 9, 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)
Levonorgestrel
Generic name (nonproprietary)
levonorgestrel
Active ingredients
Levonorgestrel — 1.5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207044
Marketing start
Listing expires
Other FDA classes
Inhibit Ovum Fertilization (Physiologic effect)Progesterone Congeners (Chemical structure)Progesterone Congeners (Chemical structure)
Identifiers
Product ID 72657-123_dc52c295-f2ff-46a9-8a66-e3b786480ee1SPL ID dc52c295-f2ff-46a9-8a66-e3b786480ee1SPL set ID 07567b80-d8a1-41c0-95e4-33afa584bbc4RxCUI 483325UNII 5W7SIA7YZWUPC 0372657123112
Pharmacologic class
Progestin; Progestin-containing Intrauterine System

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

N472657012311 followed by a unit qualifier and the quantity

Package 72657-0123-11. 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)

Use For women to reduce chance of pregnancy after unprotected sex (if a contraceptive failed or if you did not use birth control)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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