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  5. NDC Package Code: 42658-115-03 Ticagrelor

NDC Package 42658-115-03 Ticagrelor

Tablet, Film Coated 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:
42658-115-03
Package Description:
60 TABLET, FILM COATED in 1 BOTTLE
Product Code:
42658-115
Proprietary Name:
Ticagrelor
Non-Proprietary Name:
Ticagrelor
Substance Name:
Ticagrelor
Usage Information:
Ticagrelor is used along with low-dose aspirin to help prevent heart attack and stroke in people with heart problems (such as unstable angina, previous heart attack). It may also prevent blood clots after certain heart surgeries (such as stent placement). Ticagrelor works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It keeps blood flowing smoothly in your body.
11-Digit NDC Billing Format:
42658011503
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
60 EA
NDC to RxNorm Crosswalk:
RxCUI: 1116635 - ticagrelor 90 MG Oral Tablet
Product Type:
Human Prescription Drug
Labeler Name:
Hisun Pharmaceuticals Usa, Inc.
Dosage Form:
Tablet, Film Coated - A solid dosage form that contains medicinal substances with or without suitable diluents and is coated with a thin layer of a water-insoluble or water-soluble polymer.
Administration Route(s):
Oral - Administration to or by way of the mouth.
Active Ingredient(s):
TICAGRELOR 90 mg/1
Pharmacologic Class(es):
Sample Package:
No
FDA Application Number:
ANDA208575
Marketing Category:
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date:
01-01-2025
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
42658-115-07500 TABLET, FILM COATED in 1 BOTTLE
42658-115-10180 TABLET, FILM COATED in 1 BOTTLE

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 42658-115-03?

The NDC Packaged Code 42658-115-03 is assigned to a package of 60 tablet, film coated in 1 bottle of Ticagrelor, a human prescription drug labeled by Hisun Pharmaceuticals Usa, Inc.. The product's dosage form is tablet, film coated and is administered via oral form.

Is NDC 42658-115 included in the NDC Directory?

Yes, Ticagrelor with product code 42658-115 is active and included in the NDC Directory. The product was first marketed by Hisun Pharmaceuticals Usa, Inc. on January 01, 2025 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 NDC billing unit for package 42658-115-03?

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 60.

What is the 11-digit format for NDC 42658-115-03?

The 11-digit format is 42658011503. 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
5-3-242658-115-035-4-242658-0115-03