Androgel
NDC Package 17139-562-31

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Androgel (testosterone) gel is this medicated gel contains testosterone. This formulation utilizes a gel delivery system. Marketed by Ascend Therapeutics U.s., Llc, this product is identified by NDC 17139-562 and is authorized under FDA application NDA022309.

Identification & Billing

NDC Package Code
17139-562-31
Package Description
30 PACKET in 1 CARTON / 1.25 g in 1 PACKET (17139-562-12)
Product Code
17139-562
11-Digit Billing Format
17139056231
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

Clinical Specifications

Proprietary Name
Androgel
Non-Proprietary Name
Testosterone
Substance Name
Testosterone
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
Transdermal - Administration through the dermal layer of the skin to the systemic circulation by diffusion.
Active Ingredient(s)
TESTOSTERONE 16.2 mg/g
Pharmacologic Class
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.
DEA Schedule
Schedule III (CIII) Substances

Regulatory & Marketing

Labeler Name
Ascend Therapeutics U.s., Llc
Product Type
Human Prescription Drug
FDA Application #
NDA022309
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
02-17-2023
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Other Available Packages

The following commercial packages are registered under the same Product NDC (17139-562). Click a package code to view its specific billing and regulatory data.

17139-562-30
30 PACKET in 1 CARTON / 2.5 g in 1 PACKET (17139-562-01)
17139-562-88
1 BOTTLE, PUMP in 1 CARTON / 88 g in 1 BOTTLE, PUMP

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 17139-562-31 identifies a specific commercial package of 30 packet in 1 carton / 1.25 g in 1 packet (17139-562-12) of Androgel, a human prescription drug labeled by Ascend Therapeutics U.s., Llc. This gel is formulated for transdermal use and contains testosterone as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Ascend Therapeutics U.s., Llc on February 17, 2023. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

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.

How is this Ascend Therapeutics U.s., Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 17139056231. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
17139-562-31
11-Digit CMS (5-4-2)
17139-0562-31

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.