Methotrexate Sodium
NDC Package 63629-1472-5

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

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

Methotrexate Sodium is methotrexate is used to treat certain types of cancer or to control severe psoriasis or rheumatoid arthritis. Marketed by Bryant Ranch Prepack, this product is identified by NDC 63629-1472 and is authorized under FDA application ANDA040054.

Identification & Billing

NDC Package Code
63629-1472-5
Package Description
36 TABLET in 1 BOTTLE
Product Code
63629-1472
11-Digit Billing Format
63629147205

Clinical Specifications

Proprietary Name
Methotrexate Sodium
Dosage Form
-
Usage Information
Methotrexate is used to treat certain types of cancer or to control severe psoriasis or rheumatoid arthritis. It may also be used to control juvenile rheumatoid arthritis. Methotrexate belongs to a class of drugs known as antimetabolites. It works by slowing or stopping the growth of cancer cells and suppressing the immune system. Early treatment of rheumatoid arthritis with more aggressive therapy such as methotrexate helps to reduce further joint damage and to preserve joint function.

Regulatory & Marketing

Labeler Name
Bryant Ranch Prepack
FDA Application #
ANDA040054
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
08-01-1994
End Marketing Date
10-27-2022
Listing Expiration
10-27-2022
Exclude Flag
D
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 (63629-1472). Click a package code to view its specific billing and regulatory data.

63629-1472-1
30 TABLET in 1 BOTTLE, PLASTIC
63629-1472-2
12 TABLET in 1 BOTTLE, PLASTIC
63629-1472-3
20 TABLET in 1 BOTTLE, PLASTIC
63629-1472-4
100 TABLET in 1 BOTTLE, PLASTIC
63629-1472-6
24 TABLET in 1 BOTTLE
63629-1472-7
90 TABLET in 1 BOTTLE, PLASTIC
63629-1472-8
4 TABLET in 1 BOTTLE, PLASTIC

* 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 63629-1472-5 identifies a specific commercial package of 36 tablet in 1 bottle of Methotrexate Sodium, labeled by Bryant Ranch Prepack. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Bryant Ranch Prepack on August 01, 1994. The current certification is valid through October 27, 2022.

What are the primary indications for this medication?

Methotrexate is used to treat certain types of cancer or to control severe psoriasis or rheumatoid arthritis. It may also be used to control juvenile rheumatoid arthritis. Methotrexate belongs to a class of drugs known as antimetabolites. It works by slowing or stopping the growth of cancer cells and suppressing the immune system. Early treatment of rheumatoid arthritis with more aggressive therapy such as methotrexate helps to reduce further joint damage and to preserve joint function.

How is this Bryant Ranch Prepack product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63629147205. 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 (5-4-1)
63629-1472-5
11-Digit CMS (5-4-2)
63629-1472-05

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