NDC codes

FDA NDC Directory
Product NDC (as listed)87143-420Labeler and product segments. Claims need a package NDC.
Product NDC at billing width87143-0420Add 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
87143-420-0487143042004118 mL in 1 BOTTLE (87143-420-04)Marketed from May 4, 2026

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)
Evesse
Generic name (nonproprietary)
hydrocortisone butyrate
Active ingredients
Hydrocortisone butyrate — 1 mg/mL
Dosage form
Lotion
Route
Topical
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209556
Marketing start
Listing expires
Other FDA classes
Corticosteroid Hormone Receptor Agonists (Mechanism)
Identifiers
Product ID 87143-420_d2665bc0-2ab6-4f52-9121-b0b177e0cef0SPL ID d2665bc0-2ab6-4f52-9121-b0b177e0cef0SPL set ID 988b5524-2947-4862-9d5b-e8b7fec5fd9aRxCUI 1370763, 2742561UNII 05RMF7YPWN
Pharmacologic class
Corticosteroid

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

NDC on a medical claim

N487143042004 followed by a unit qualifier and the quantity

Package 87143-0420-04. 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)

EVESSE™ (hydrocortisone butyrate) Lotion is indicated for the topical treatment of mild to moderate atopic dermatitis in patients 3 months of age and older. EVESSE™ (hydrocortisone butyrate) Lotion is a corticosteroid indicated for the topical treatment of mild to moderate atopic dermatitis in patients 3 months of age and older. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209556

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

FDA NDC Directory listings under ANDA 209556
ProductStrengthForm · routeLabelerProduct NDC
Hydrocortisone ButyrateHydrocortisone butyrate 1 mg/mLLotionTopicalBryant Ranch Prepack72162-2630
Hydrocortisone ButyrateHydrocortisone butyrate 1 mg/mLLotionTopicalThe J. Molner Company LLC83148-012

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