NDC codes

FDA NDC Directory
Product NDC (as listed)82804-033Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82804-0033Add 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
82804-033-308280400333030 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (82804-033-30)Marketed from Oct 25, 2023
82804-033-608280400336060 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (82804-033-60)Marketed from Oct 25, 2023
82804-033-908280400339090 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (82804-033-90)Marketed from Oct 25, 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)
Mycophenolate mofetil
Generic name (nonproprietary)
mycophenolate mofetil
Active ingredients
Mycophenolate mofetil — 500 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090456
Marketing start
Listing expires
Identifiers
Product ID 82804-033_ce06afcb-4e6c-4b78-8bad-9909c8fffa52SPL ID ce06afcb-4e6c-4b78-8bad-9909c8fffa52SPL set ID ce06afcb-4e6c-4b78-8bad-9909c8fffa52RxCUI 200060UNII 9242ECW6R0UPC 0382804033300
Pharmacologic class
Antimetabolite Immunosuppressant

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

N482804003330 followed by a unit qualifier and the quantity

Package 82804-0033-30. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

Mycophenolate mofetil (MMF) is indicated for the prophylaxis of organ rejection, in adult and pediatric recipients 3 months of age and older of allogeneic kidney [see Clinical Studies (14.1)] , heart [see Clinical Studies (14.2)] or liver transplants [see Clinical Studies (14.3)] , in combination with other immunosuppressants. Mycophenolate mofetil is an antimetabolite immunosuppressant indicated for the prophylaxis of organ rejection in adult and pediatric recipients 3 months of age and older of allogeneic kidney, heart or liver transplants, in combination with other immunosuppressants. (1)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090456

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

FDA NDC Directory listings under ANDA 090456
ProductStrengthForm · routeLabelerProduct NDC
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-2767
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralAmerican Health Packaging60687-438
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-3571
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralStrides Pharma Science Limited64380-725
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralHeritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.23155-836
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralAvKARE73190-010
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-7078
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralStrides Pharma Inc.42543-989
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralNuCare Pharmaceuticals, Inc.68071-3767
Mycophenolate mofetilMycophenolate mofetil 500 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-4377

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