NDC codes

FDA NDC Directory
Product NDC (as listed)82804-211Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82804-0211Add 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
82804-211-308280402113030 TABLET in 1 BOTTLE (82804-211-30)Marketed from Mar 19, 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)
Ezetimibe
Generic name (nonproprietary)
ezetimibe
Active ingredients
Ezetimibe — 10 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078560
Marketing start
Listing expires
Other FDA classes
Decreased Cholesterol Absorption (Physiologic effect)
Identifiers
Product ID 82804-211_55b18d8f-40e0-48ba-baf1-79a0d1bb2ee2SPL ID 55b18d8f-40e0-48ba-baf1-79a0d1bb2ee2SPL set ID 55b18d8f-40e0-48ba-baf1-79a0d1bb2ee2RxCUI 349556UNII EOR26LQQ24UPC 0382804211302
Pharmacologic class
Dietary Cholesterol Absorption 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

N482804021130 followed by a unit qualifier and the quantity

Package 82804-0211-30. 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 .

Indications (excerpt from the label)

Ezetimibe tablets are indicated: • In combination with a statin, or alone when additional low-density lipoprotein cholesterol (LDL-C) lowering therapy is not possible, as an adjunct to diet to reduce elevated LDL-C in adults with primary hyperlipidemia, including heterozygous familial hypercholesterolemia (HeFH). • In combination with a statin as an adjunct to diet to reduce elevated LDL-C in pediatric patients 10 years of age and older with HeFH. • In combination with fenofibrate as an adjunct to diet to reduce elevated LDL-C in adults with mixed hyperlipidemia. • In combination with a statin, and other LDL-C lowering therapies, to reduce elevated LDL-C levels in adults and in pediatric pat…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 078560

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

FDA NDC Directory listings under ANDA 078560
ProductStrengthForm · routeLabelerProduct NDC
EzetimibeEzetimibe 10 mg/1TabletOralA-S Medication Solutions50090-7338
EzetimibeEzetimibe 10 mg/1TabletOralA-S Medication Solutions50090-7339
EzetimibeEzetimibe 10 mg/1TabletOralGlenmark Pharmaceuticals Inc., USA68462-226

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