Do I use the NDC on the box or the vial?
Asked by: Francis Tromp | Last update: October 25, 2025Score: 4.1/5 (8 votes)
Is NDC required on packaging?
The National Drug Code (NDC) number is requested but not required to appear on all drug labels and in all drug labeling, including the label of any prescription drug container furnished to a consumer.
Where do I put NDC on claim?
Enter the NDC code in box 24 on the 1500 Claim form. Electronic Claims: Verify that the correct NDC numbers are loaded into the practice management system. NOTE: Medications and vaccine typically have multiple NDC numbers depending upon the manufacturer, dosage and packaging.
What are the rules for NDC numbers?
Proper billing of a National Drug Code (NDC) requires an 11-digit number in a 5-4-2 format. Converting National Drug Code (NDC) from a 10-digit to an 11-digit format requires a strategically placed zero, dependent upon the 10-digit format.
How is the NDC used?
Drugs are identified and reported using a unique, three-segment number called the National Drug Code (NDC) which serves as the FDA's identifier for drugs. FDA publishes the listed NDC numbers in the NDC Directory which is updated daily.
Introducing NDC - What is NDC? (Part 1)
How to use NDC?
To access NDC content you must be provisioned for NDC with Travelport and registered with the NDC airline. Validation occurs at these levels when a request for NDC content via any JSON API is received: Validation that the requester is provisioned for NDC within Travelport.
How is the NDC used in filling prescriptions?
The first segment of the NDC identifies the labeler (i.e., the company that manufactures or distributes the drug). The second segment identifies the product (i.e., specific strength, dosage form, and formulation of a drug). The third segment identifies the package size and type.
How do you bill an NDC number?
11-digit NDC
Submit the NDC in its 5-4-2 digit format: XXXXX-XXXX-XX. Some packages may display fewer than 11 digits. In this case, put zeros in in the proper position in front of the existing numbers when billing. Please note: For ease of reading, this page shows NDCs with hyphens between the segments.
Where to put zero in NDC number?
Happily, there's a simple set of rules to help place the zero in the correct location. For a 10 digit NDC in the 4-4-2 format, add a 0 in the 1st position. For a 10 digit NDC in the 5-3-2 format, add a 0 in the 6th position. For a 10 digit NDC in the 5-4-1 format, add a 0 in the 10th position.
What 3 pieces of information is contained in an NDC number?
The 3 segments of the NDC identify the labeler, the product, and the commercial package size. The first set of numbers in the NDC identifies the labeler (manufacturer, re-packager, or distributer).
What is the NDC number on a prescription bottle?
The NDC, or National Drug Code, is a unique 10-digit or 11-digit, 3-segment number, and a universal product identifier for human drugs in the United States.
Where does NPI go on claim form?
If a payor requires the individual rendering provider's NPI number on claims, it will be represented in Box 24J. TRICARE® for example, requires each provider, including RBT®'s to be billed under the individual NPI number. RBT®'s should have their own individual NPI number.
What box does the NDC number go in on UB 04?
Entering NDCs on UB-04
In Box 43, enter the product ID qualifier N4 followed by the 11-digit NDC. Omit spaces and hyphens. Directly following the last digit of the NDC (no space), enter the two-character unit of measure qualifier followed by the numeric quantity.
How to enter NDC number on claim?
The NDC number must be entered in the 24D field of the CMS-1500 Form or the LIN03 segment of the HIPAA 837 Professional Electronic form. NDC unit of measure (F2, GR, ML, UN). NDC units dispensed (must be greater than 0).
What is the NDC code on a package?
NDC Number
Each listed drug product listed is assigned a unique 10-digit, 3-segment number. This number, known as the NDC, identifies the labeler, product, and trade package size. The first segment, the labeler code, is assigned by the FDA.
Can NDC codes be reused?
Historically, the Food and Drug Administration (FDA) permitted the reuse of an NDC if the product had been discontinued for at least five years. However, FDA regulations1, effective November 29, 2016, prohibit the reuse of an NDC if the NDC was previously assigned to a different drug.
What are the NDC guidelines?
National Drug Code (NDC) numbers are the industry standard identifier for drugs and provide full transparency to the medication administered. The NDC number identifies the manufacturer, drug name, dosage, strength, package size and quantity.
What box does the NDC number go in on a CMS 1500?
In the shaded area of Box 24A, enter the product ID qualifier N4 followed by the 11-digit NDC. Omit spaces and hyphens. In the shaded area of Box 24D, enter the two-character unit of measure qualifier followed by the numeric quantity (a 10-digit number) administered to the patient.
What is the correct format for NDC numbers?
Many National Drug Codes (NDCs) are displayed on drug packaging in a 10-digit format. Proper billing of an NDC requires an 11-digit number in a 5-4-2 format. Converting NDCs requires a stregically placed zero, depending on the 10-digit format.
How do I find the correct NDC number?
Answer: NDC numbers are listed on drug packaging in 10-digit format, however, to be recognized by payers, they must be converted to an 11-digit 5-4-2 sequence.
How to change 10 digit NDC to 11-digit?
- For a 10 digit NDC in the 4-4-2 format, add a 0 in the 1st position.
- For a 10 digit NDC in the 5-3-2 format, add a 0 in the 6th position.
- For a 10 digit NDC in the 5-4-1 format, add a 0 in the 10th position.
Can a drug have multiple NDC codes?
If two or more NDCs (National Drug Codes) are submitted for a single procedure code, the procedure code is required to be repeated on separate details for each unique NDC.
Does the NDC number need to be on the label?
All drugs and biologics that are regulated by the FDA must include an NDC number on their label, including prescription drugs, over-the-counter medicines, and medical devices. However, not all products are required to have an NDC; dietary supplements and herbal remedies do not fall under this regulatory requirement.
What is the NDC and how is it used?
The National Drug Code (NDC) is used by the federal government to identify and track drugs intended for human use.
What is NDC in medical billing format?
National Drug Code (NDC) numbers are unique 11 digit identifiers for drugs; they provide full transparency as to the manufacturer, drug name, dosage, strength and package size of the drug. The 11 digit NDC is composed of three segments in a 5-4-2 format.