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  5. NDC Package Code: 0169-4303-30 Rybelsus

NDC Package 0169-4303-30 Rybelsus

Oral Semaglutide Tablet Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0169-4303-30
Package Description:
30 TABLET in 1 BOTTLE, GLASS
Product Code:
0169-4303
Proprietary Name:
Rybelsus
Non-Proprietary Name:
Oral Semaglutide
Substance Name:
Semaglutide
Usage Information:
Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Semaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and decreasing the amount of sugar your liver makes.
11-Digit NDC Billing Format:
00169430330
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
30 EA
NDC to RxNorm Crosswalk:
  • RxCUI: 2200644 - semaglutide 14 MG Oral Tablet
  • RxCUI: 2200650 - RYBELSUS 14 MG Oral Tablet
  • RxCUI: 2200650 - semaglutide 14 MG Oral Tablet [Rybelsus]
  • RxCUI: 2200650 - Rybelsus 14 MG Oral Tablet
  • RxCUI: 2200652 - semaglutide 3 MG Oral Tablet
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Novo Nordisk
    Dosage Form:
    Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • SEMAGLUTIDE 3 mg/1
    • Pharmacologic Class(es):
  • GLP-1 Receptor Agonist - [EPC] (Established Pharmacologic Class)
  • Glucagon-Like Peptide 1 - [CS]
  • Glucagon-like Peptide-1 (GLP-1) Agonists - [MoA] (Mechanism of Action)
    • Sample Package:
    No
    FDA Application Number:
    NDA213051
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    09-20-2019
    Listing Expiration Date:
    12-31-2025
    Exclude Flag:
    N
    Code Structure:

    The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

    * Please review the disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    0169-4303-9930 TABLET in 1 BOTTLE, GLASS

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 0169-4303-30?

    The NDC Packaged Code 0169-4303-30 is assigned to a package of 30 tablet in 1 bottle, glass of Rybelsus, a human prescription drug labeled by Novo Nordisk. The product's dosage form is tablet and is administered via oral form.

    Is NDC 0169-4303 included in the NDC Directory?

    Yes, Rybelsus with product code 0169-4303 is active and included in the NDC Directory. The product was first marketed by Novo Nordisk on September 20, 2019 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 0169-4303-30?

    The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 30.

    What is the 11-digit format for NDC 0169-4303-30?

    The 11-digit format is 00169430330. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    4-4-20169-4303-305-4-200169-4303-30