How do I find the NDC code?
Where can I find an NDC number for a drug?
- You can easily use the Drugs.com Pill Identification Wizard to identify medications by NDC number. You can also access NDC numbers via the free Drugs.com Medication Guide App.
- The FDA also maintains a searchable database of NDC codes on their website.
Are NDC codes required for Medicare claims?
A1. While the Centers for Medicaid and Medicare Services (CMS) does not require the NDC on traditional Medicare claims, NJ Medicaid NDC requirements are being reviewed, communicated and enforced by the State of New Jersey.
How do I report a NDC claim?
The NDC is to be preceded with the qualifier N4 and followed immediately by the 11 digit NDC code (e.g., N499999999999). Report the NDC quantity in positions 17 through 24 of the same red shaded portion.
What is N4 before NDC number?
The code ‘N4’ is used to identify an NDC number. – Bytes 3 – 21 will consist of the appropriate 11-digit NDC number. In this area, enter the NDC unit of measure (two positions) immediately followed by the numeric quantity administered to the patient, which is a full 10-digit number.
Do all drugs have medication guides?
Does every drug with a REMS have a Medication Guide requirement? No. A REMS can have several components, and not every REMS will have a medication guide.
Can medication guides be electronic?
Pharmacies asked that they be permitted to electronically print Medication Guides, based on the National Drug Code number of the prescription being filled. However, the cost of printing and distributing the Medication Guides was raised as a concern for pharmacies.
How do you enter a NDC number on a claim?
To submit the NDC, unit of measure, and quantity for paper CMS-1500 claim forms, enter the NDC in the shaded area of the service lines in field 24A. The six service lines in section 24 have been divided horizontally to accommodate submission of supplemental information to support the billed service.