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  5. NDC Package Code: 0904-6664-04 Ezetimibe

NDC Package 0904-6664-04 Ezetimibe

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

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:
0904-6664-04
Package Description:
30 BLISTER PACK in 1 CARTON / 1 TABLET in 1 BLISTER PACK
Product Code:
0904-6664
Proprietary Name:
Ezetimibe
Usage Information:
Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Ezetimibe may be used alone or with other drugs (such as "statins" or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks.
11-Digit NDC Billing Format:
00904666404
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
30 EA
Labeler Name:
Major Pharmaceuticals
Sample Package:
No
FDA Application Number:
ANDA208332
Marketing Category:
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date:
06-12-2017
End Marketing Date:
04-30-2022
Listing Expiration Date:
04-30-2022
Exclude Flag:
D
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.

Frequently Asked Questions

What is NDC 0904-6664-04?

The NDC Packaged Code 0904-6664-04 is assigned to a package of 30 blister pack in 1 carton / 1 tablet in 1 blister pack of Ezetimibe, labeled by Major Pharmaceuticals. The product's dosage form is and is administered via form.

Is NDC 0904-6664 included in the NDC Directory?

No, Ezetimibe with product code 0904-6664 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Major Pharmaceuticals on June 12, 2017 and its listing in the NDC Directory is set to expire on April 30, 2022 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 0904-6664-04?

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 0904-6664-04?

The 11-digit format is 00904666404. 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
4-4-20904-6664-045-4-200904-6664-04