NDC codes

FDA NDC Directory
Product NDC (as listed)76420-212Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76420-0212Add 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
76420-212-30764200212301 TUBE in 1 CARTON (76420-212-30) / 3.5 g in 1 TUBEMarketed from Mar 8, 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)
Erythromycin
Generic name (nonproprietary)
erythromycin
Active ingredients
Erythromycin — 5 mg/g
Dosage form
Ointment
Route
Ophthalmic
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 064030
Marketing start
Listing expires
Other FDA classes
Decreased Sebaceous Gland Activity (Physiologic effect)Macrolides (Chemical structure)
Identifiers
Product ID 76420-212_d9ae93e7-f4a8-1df3-e053-2a95a90ae5b1SPL ID d9ae93e7-f4a8-1df3-e053-2a95a90ae5b1SPL set ID bccdb8f3-b5f5-4f07-8ddb-8811d5c1b73cRxCUI 310149UNII 63937KV33D
Pharmacologic class
Macrolide Antimicrobial; Macrolide

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. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N476420021230 followed by a unit qualifier and the quantity

Package 76420-0212-30. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 064030

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

FDA NDC Directory listings under ANDA 064030
ProductStrengthForm · routeLabelerProduct NDC
ErythromycinErythromycin 5 mg/gOintmentOphthalmicST. MARY'S MEDICAL PARK PHARMACY60760-670
ErythromycinErythromycin 5 mg/gOintmentOphthalmicRedpharm Drug67296-2128
ErythromycinErythromycin 5 mg/gOintmentOphthalmicProficient Rx LP63187-267
ErythromycinErythromycin 5 mg/gOintmentOphthalmicNuCare Pharmaceuticals,Inc.68071-3992
ErythromycinErythromycin 5 mg/gOintmentOphthalmicSentiss Pharmaceuticals LLC70244-031
ErythromycinErythromycin 5 mg/gOintmentOphthalmicARMAS PHARMACEUTICALS INC.72485-670

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