NDC Package 67877-555-33 Dimethyl Fumarate

Capsule, Delayed Release Oral - 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:
67877-555-33
Package Description:
10 CAPSULE, DELAYED RELEASE in 1 BLISTER PACK
Product Code:
Proprietary Name:
Dimethyl Fumarate
Non-Proprietary Name:
Dimethyl Fumarate
Substance Name:
Dimethyl Fumarate
Usage Information:
Dimethyl fumarate is used to treat multiple sclerosis (MS). It is not a cure for MS. It helps decrease the number of episodes of worsening MS.
11-Digit NDC Billing Format:
67877055533
NDC to RxNorm Crosswalk:
  • RxCUI: 1373483 - dimethyl fumarate 120 MG Delayed Release Oral Capsule
  • RxCUI: 1373491 - dimethyl fumarate 240 MG Delayed Release Oral Capsule
  • RxCUI: 1373497 - {14 (dimethyl fumarate 120 MG Delayed Release Oral Capsule) / 46 (dimethyl fumarate 240 MG Delayed Release Oral Capsule) } Pack
  • RxCUI: 1373497 - dimethyl fumarate starter dose 120 MG (14), 240 MG (46) Delayed Release Oral Capsule 60 Count Pack
  • Product Type:
    Human Prescription Drug
    Labeler Name:
    Ascend Laboratories, Llc
    Dosage Form:
    Capsule, Delayed Release - A solid dosage form in which the drug is enclosed within either a hard or soft soluble container made from a suitable form of gelatin, and which releases a drug (or drugs) at a time other than promptly after administration. Enteric-coated articles are delayed release dosage forms.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
  • Active Ingredient(s):
    Sample Package:
    No
    FDA Application Number:
    ANDA210440
    Marketing Category:
    ANDA - A product marketed under an approved Abbreviated New Drug Application.
    Start Marketing Date:
    09-26-2020
    Listing Expiration Date:
    12-31-2025
    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
    67877-555-101000 CAPSULE, DELAYED RELEASE in 1 BOTTLE, PLASTIC
    67877-555-1414 CAPSULE, DELAYED RELEASE in 1 BOTTLE, PLASTIC
    67877-555-9090 CAPSULE, DELAYED RELEASE in 1 BOTTLE, PLASTIC

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 67877-555-33?

    The NDC Packaged Code 67877-555-33 is assigned to a package of 10 capsule, delayed release in 1 blister pack of Dimethyl Fumarate, a human prescription drug labeled by Ascend Laboratories, Llc. The product's dosage form is capsule, delayed release and is administered via oral form.

    Is NDC 67877-555 included in the NDC Directory?

    Yes, Dimethyl Fumarate with product code 67877-555 is active and included in the NDC Directory. The product was first marketed by Ascend Laboratories, Llc on September 26, 2020 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 67877-555-33?

    The 11-digit format is 67877055533. 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
    5-3-267877-555-335-4-267877-0555-33