NDC codes

FDA NDC Directory
Product NDC (as listed)72786-101Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72786-0101Add 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
72786-101-017278601010190 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (72786-101-01)Marketed from Nov 25, 2019

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)
Oxbryta
Generic name (nonproprietary)
voxelotor
Active ingredients
Voxelotor — 500 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 213137
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 3A4 Inhibitors (Mechanism)Hemoglobin S Polymerization Inhibitors (Mechanism)
Identifiers
Product ID 72786-101_e27a3e07-438e-49d3-aae3-095e9379c7b4SPL ID e27a3e07-438e-49d3-aae3-095e9379c7b4SPL set ID 3c557fac-29ec-483f-b691-8a935d4decc3RxCUI 2265683, 2265689, 2588070, 2588074, 2619427, 2619428UNII 3ZO554A4Q8UPC 0372786111035
Pharmacologic class
Hemoglobin S Polymerization Inhibitor

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

N472786010101 followed by a unit qualifier and the quantity

Package 72786-0101-01. 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)

OXBRYTA is indicated for the treatment of sickle cell disease (SCD) in adults and pediatric patients 4 years of age and older. This indication is approved under accelerated approval based on increase in hemoglobin (Hb) [see Clinical Studies (14) ] . Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trial(s). OXBRYTA is a hemoglobin S polymerization inhibitor indicated for the treatment of sickle cell disease in adults and pediatric patients 4 years of age and older. This indication is approved under accelerated approval based on increase in hemoglobin (Hb). Continued approval for this indication may be contingent up…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72786-101

What is NDC 72786-101?
72786-101 is the product NDC for Oxbryta (voxelotor), Voxelotor 500 mg/1 tablet, film coated, listed with the FDA by Global Blood Therapeutics, Inc, A subsidiary of Pfizer Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Oxbryta (Voxelotor).
What is the active ingredient?
Voxelotor.
Who is the labeler?
Global Blood Therapeutics, Inc, A subsidiary of Pfizer Inc., NDC labeler code 72786. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Oxbryta?
2 other product NDCs are listed under this name. See all Oxbryta 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 Oxbryta NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
OxbrytavoxelotorVoxelotor 300 mg/1Tablet, For suspensionOralGlobal Blood Therapeutics, Inc, A subsidiary of Pfizer Inc.72786-11172786-0111-0272786-0111-03
OxbrytavoxelotorVoxelotor 300 mg/1Tablet, Film coatedOralGlobal Blood Therapeutics, Inc, A subsidiary of Pfizer Inc.72786-10272786-0102-0272786-0102-03

Other NDCs under NDA 213137

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

FDA NDC Directory listings under NDA 213137
ProductStrengthForm · routeLabelerProduct NDC
OxbrytavoxelotorVoxelotor 300 mg/1Tablet, Film coatedOralGlobal Blood Therapeutics, Inc, A subsidiary of Pfizer Inc.72786-102

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