NDC Package 17139-562-30 Androgel

Testosterone Gel Transdermal - View Billable Units, 11-Digit Format, RxNorm

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:
17139-562-30
Package Description:
30 PACKET in 1 CARTON / 2.5 g in 1 PACKET (17139-562-01)
Product Code:
Proprietary Name:
Androgel
Non-Proprietary Name:
Testosterone
Substance Name:
Testosterone
Usage Information:
This medicated gel contains testosterone. It is used for hormone replacement in men who are not able to produce enough testosterone (for example, due to hypogonadism). This medication is absorbed through the skin, enters your bloodstream, and helps your body reach normal testosterone levels. Testosterone helps the body to develop and maintain the male sexual characteristics (masculinity), such as a deep voice and body hair. It also helps to maintain muscle and prevent bone loss, and is necessary for natural sexual ability/desire. This drug should not be used by women.
11-Digit NDC Billing Format:
17139056230
NDC to RxNorm Crosswalk:
  • RxCUI: 1597075 - AndroGel 1.62 % (20.25 MG/ACTUAT) Transdermal Gel Pump, 60 ACTUAT
  • RxCUI: 1597075 - 60 ACTUAT testosterone 20.25 MG/ACTUAT Topical Gel [Androgel]
  • RxCUI: 1597076 - testosterone 1.62 % (20.25 MG/ACTUAT) Transdermal Gel Pump, 60 ACTUAT
  • RxCUI: 1597076 - 60 ACTUAT testosterone 20.25 MG/ACTUAT Topical Gel
  • RxCUI: 1597120 - testosterone 1.62 % (20.25MG / 1.25GM) Transdermal Gel
Product Type:
Human Prescription Drug
Labeler Name:
Ascend Therapeutics U.s., Llc
Dosage Form:
Gel - A semisolid3 dosage form that contains a gelling agent to provide stiffness to a solution or a colloidal dispersion.4 A gel may contain suspended particles.
Administration Route(s):
Transdermal - Administration through the dermal layer of the skin to the systemic circulation by diffusion.
Active Ingredient(s):
DEA Schedule:
Schedule III (CIII) Substances
Sample Package:
No
FDA Application Number:
NDA022309
Marketing Category:
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date:
02-17-2023
Listing Expiration Date:
12-31-2026
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
17139-562-3130 PACKET in 1 CARTON / 1.25 g in 1 PACKET (17139-562-12)
17139-562-881 BOTTLE, PUMP in 1 CARTON / 88 g in 1 BOTTLE, PUMP

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 17139-562-30?

The NDC Packaged Code 17139-562-30 is assigned to a package of 30 packet in 1 carton / 2.5 g in 1 packet (17139-562-01) of Androgel, a human prescription drug labeled by Ascend Therapeutics U.s., Llc. The product's dosage form is gel and is administered via transdermal form.

Is NDC 17139-562 included in the NDC Directory?

Yes, Androgel with product code 17139-562 is active and included in the NDC Directory. The product was first marketed by Ascend Therapeutics U.s., Llc on February 17, 2023 and its listing in the NDC Directory is set to expire on December 31, 2026 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 17139-562-30?

The 11-digit format is 17139056230. 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 5-3-2 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
5-3-217139-562-305-4-217139-0562-30