drugs: contract drugs list part 5 – authorized ... · 2 – drugs: contract drugs list part 5 –...

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Part 2 – Drugs: Contract Drugs List Part 5 Authorized Drug Manufacturer Labeler Codes

Drugs: Contract Drugs List Part 5 Authorized Drug Manufacturer Labeler Codes

Page updated: August 2020

General Provisions

(1) Reimbursement of drugs made by manufacturers whose labeler codes are marked with a symbol (♦) was based on the direct price of this manufacturer for dates of service prior to December 1, 2002.

(2) Providers will not be reimbursed for any drugs made by manufacturers identified with a symbol (†), on the following pages, unless they have an approved Treatment Authorization Request (TAR). There are two exceptions to this policy:

• Drugs from affected manufacturers do not require a TAR if they are marked with a symbol (ƒ) on the Contract Drugs List. See paragraph (6), “General Provisions,” in the Drugs: Contract Drugs Introduction section of the Part 2 Pharmacy manual for more information.

• A patient who has been receiving one of the affected drugs may continue to receive it without authorization. Affected drugs are lined out and marked with a symbol (§) on the Contract Drugs List. See paragraph (7), “General Provisions,” in the Drugs: Contract Drugs Introduction section of the Part 2 Pharmacy manual for more information.

Note: Non-Pharmacy providers may view the Pharmacy manual on the Medi-Cal Provider Web site (www.medi-cal.ca.gov).

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‹‹NDC Labeler Code and Contracting Company’s Name Table››

NDC Labeler Code

Contracting Company’s Name

NDC Labeler Code


00002 Eli Lilly And Company 00065 Alcon Laboratories Inc.

00003 ♦ E. R. Squibb & Sons, LLC. 00067 Novartis Consumer Health, Inc. (end-dated effective July 1, 2020)

00004 Hoffman-La Roche Inc. 00068 Aventis Pharmaceuticals

00006 ♦ Merck & Company, Inc. 00069 ♦ Pfizer, Inc.

00007 Glaxosmithkline 00071 ♦ Pfizer, Inc.

00008 ♦ Wyeth Laboratories 00074 Abbvie Inc.

00009 ♦ Pfizer, Inc. 00075 Aventis Pharmaceuticals

00013 Pfizer, Inc. 00078 Novartis Pharmaceuticals Corporation

00015 Mead Johnson & Company 00085 Schering Corporation

00023 Allergan, Inc. 00087 Bristol-Myers Squibb Company

00024 Sanofi-Aventis, US Llc. 00088 Aventis Pharmaceuticals

00025 Pfizer, Inc. 00091 Schwarz Pharma, Inc.

00026 Bayer Corporation Pharmaceutical Div.

00093 Teva Pharmaceuticals USA, Inc.

00029 Glaxosmithkline 00095 Ecr Pharmaceuticals

00032 Solvay Pharmaceuticals 00096 Person & Covey Inc.

00037 Meda Pharmaceuticals, Inc.

00113 Geiss, Destin & Dunn, Inc.

00039 Sanofi-Aventis, Us LLC. 00115 Global Pharmaceutical Corporation

00046 ♦ Ayerst Laboratories, Inc. 00116 Xttrium Laboratories, Inc.

00049 ♦ Pfizer, Inc. 00121 Pharmaceutical Associates, Inc.

00051 Unimed Pharmaceuticals, Inc.

00131 Schwarz Pharma Manufacturing

00052 Organon Inc. 00132 C.B. Fleet Company, Inc.

00053 Csl Behring 00135 Glaxosmithkline (end-dated effective July 1, 2020)

00054 Roxane Laboratories, Inc. 00143 West-Ward Pharmaceutical Corp

00056 Dupont Pharmaceuticals 00145 Stiefel Laboratories, Inc.

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‹‹NDC Labeler Code and Contracting Company’s Name Table (continued)››

NDC Labeler Code


NDC Labeler Code


00168 E. Fougera & Co., Division of Altana

00299 Galderma Laboratories, L.P.

00169 Novo Nordisk Pharmaceuticals, Inc.

00310 Astrazeneca Pharmaceuticals LP

00172 Ivax Pharmaceuticals, Inc. 00327 Guardian Labs Div United-Guardian Inc.

00173 Glaxosmithkline 00338 Baxter Healthcare Corporation

00178 Mission Pharmacal Company

00378 Mylan Pharmaceuticals Inc.

00182 Goldline Laboratories Inc. (end-dated effective July 1, 2020)

00406 Mallinc.Krodt Inc.

00185 Eon Labs Manufacturing, Inc.

00407 Ge Healthcare, Inc.

00186 Astrazeneca Pharmaceuticals LP

00409 Hospira, Inc.

00187 Valeant Pharmaceuticals North America

00430 Warner Chilcott Laboratories

00206 Lederle Piperacillin, Inc. 00456 Forest Pharmaceuticals, Inc.

00224 Konsyl Pharmaceuticals, Inc.

00469 Astellas Pharma US, Inc.

00225 B.F. Ascher Company Inc. 00472 Actavis

00228 Actavis Elizabeth LLC. 00485 Edwards Pharmaceuticals, Inc.

00245 Upsher-Smith Laboratories, Inc.

00486 Beach Products, Inc.

00254 Par Pharmaceutical Inc. 00487 Nephron Pharmaceuticals Corporation

00258 Inwood Laboratories, Inc. (end-dated effective July 1, 2020)

00517 American Regent Laboratories, Inc.

00259 Merz Pharmaceuticals 00527 Lannett Company, Inc.

00264 B. Braun Medical Inc. 00536 Watson Pharmaceuticals

00281 Savage Laboratories, Div. of Altana

00548 Amphastar Pharmaceuticals, Inc.

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NDC Labeler Code


NDC Labeler Code


00555 Barr Laboratories, Inc. 00990 ICU Medical Inc.

00562 Kedrion Melville, Inc. 00998 Alcon Laboratories, Inc.

00574 Paddock Laboratories, Inc. 10019 Baxter Healthcare Corporation

00575 Ivax Research, Inc. 10094 Aquestive Therapeutics, Inc.

00590 Dupont Pharmaceuticals (end-dated effective July 1, 2020)

10122 Cornerstone Biopharma, Inc.

00591 Watson Pharma, Inc. 10144 Acorda Therapeutics, Inc.

00597 Boehringer Ingelheim Pharmaceuticals

10147 Patriot Pharmaceuticals, Llc.

00603 Qualitest Pharmaceuticals, Inc.

10148 Cotherix, Inc.

00641 Baxter Healthcare Corporation

10267 Contract Pharmacal Corp.

00642 Exeltis USA, Inc. 10337 Doak Dermatologics

00682 Marnel Pharmaceuticals, Inc.

10370 Anchen Pharmaceuticals, Inc.

00703 Sicor Pharmaceuticals, Inc. 10454 Solstice Neurosciences, Inc.

00713 G & W Laboratories, Inc. 10511 Photocure, Inc.

00777 Dista Products Co Div. of Eli Lilly & Co.

10542 Hillestad Pharmaceuticals

00781 Sandoz 10572 Affordable Pharmaceuticals, LLC.

00813 Pharmics, Inc. 10599 Intersect Ent, Inc.

00832 Upsher-Smith Laboratories, Inc.

10631 Ranbaxy Laboratories Inc.

00884 Pedinol Pharmacal Inc. 10702 KVK-Tech, Inc.

00904 Major Pharmaceuticals 10885 Galen US Inc.Orporated


10888 Banner Pharmacaps Inc.

00944 Baxter Healthcare 10922 Intendis, Inc.

00955 Sanofi-Synthelabo Inc. 11527 Sheffield Pharmaceuticals (added effective July 1, 2020)

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NDC Labeler Code


NDC Labeler Code


11534 Sunrise Pharmaceutical, Inc.

15370 Carwin Associates, Inc.

11980 Allergan, Inc. 15584 Bristol-Myers Squibb And Gilead Sciences, LLC.

11994 Lantheus Medical Imaging, Inc.

16103 Pharbest Pharmaceuticals, Inc.

12496 Reckitt Benckiser Pharmaceuticals, Inc.

16252 Cobalt Laboratories, Inc.

12830 R. A. Mc Neil Company 16571 Pack Pharmaceuticals, LLC.

13107 Aurobindo Pharma USA, Inc.

16714 Northstar Rx, LLC.

13517 E5 Pharma, LLC. 16729 Accord Healthcare Inc.

13533 Talecris Biotherapeutics, Inc.

16781 Onset Dermatologics LLC

13548 Coria Laboratories, Ltd. 17433 Summit Pharmaceuticals Dba Enemeez, Inc.

13632 Rosemont Pharmaceuticals, Ltd.

17478 Akorn, Inc.

13668 Torrent Pharma, Inc. 17772 Supernus Pharmaceuticals, Inc.

13811 Trigen Laboratories, Inc. 18657 Halozyme Therapeutics, Inc.

13845 Purdue Gmp Center LLC. Dba The Chao Center

18860 Jazz Pharmaceuticals, Inc.

13913 Depomed, Inc. 20536 Talon Therapeutics, Inc.

13925 Seton Pharmaceuticals, LLC.

21724 Independence Pharmaceuticals, LLC.

14539 Heritage Pharma Labs, Inc. 21922 Encube Ethicals

14550 Actavis Pharma Mfging Private Ltd (end-dated effective July 1, 2020)

23155 Heritage Pharmaceuticals, Inc.

15054 Ipsen Biopharmaceuticals, Inc.

23359 Centurion Labs, LLC.

15127 Select Brands Distributors 23594 Zylera Pharmaceuticals, LLC.

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NDC Labeler Code


NDC Labeler Code


23635 Mallinc.Krodt Brand Pharmaceuticals, Inc.

25682 Alexion Pharmaceuticals

24090 Akrimax Pharmaceuticals LLC.

27241 Ajanta Pharma Limited

24201 Custopharm, Inc. Dba Leucadia Pharma

27437 Lupin Pharmaceuticals, Inc.

24208 Bausch & Lomb Pharmaceuticals, Inc.

27505 Us Worldmeds, LLC.

24338 Arbor Pharmaceuticals, Inc.

27808 Tris Pharma, Inc.

24385 Bergen Brunswig Drug Company

28105 Hill Dermaceuticals, Inc.

24478 Nextwave Pharmaceuticals, Inc.

28595 Allegis Pharmaceuticals, LLC.

24492 Pari Respiratory Equipment, Inc.

29033 Nostrum Laboratories

24510 Collegium Pharmaceuticals, Inc.

29300 Unichem Pharmaceuticals, Inc.

24658 Blu Pharmaceuticals 29978 Capital Pharmaceutical, LLC.

24856 Thrombogenics, Inc. 30237 Dendreon Corporation

24979 Twi Pharmaceuticals, Inc. 30698 Validus Pharmaceuticals, Inc.

24987 Covis Pharmeceuticals, Inc.

31357 Inspire Pharmaceuticals, Inc.

25010 Aton Pharma, Inc. 31722 Camber Pharmaceuticals, Inc.

25021 Sagent Pharmaceuticals, Inc.

33342 Macleods Pharma USA, Inc.

25208 Medicure Pharma, Inc. 35573 Burel Pharmaceuticals

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NDC Labeler Code


NDC Labeler Code



42494 Cameron Pharmaceuticals, LLC.

36800 Topco Associates LLC. 42543 Vensun Pharmaceuticals, Inc.

37205 Leader 42571 Micro Labs Limited

39328 Patrin Pharma, Inc. 42658 Hisun Pharmaceuticals USA, Inc. (added effective October 1, 2019)

39822 X-Gen Pharmaceuticals 42702 Paragon Biotek, Inc.

40076 Prestium Pharma, Inc. 42747 Prostrakan, Inc.

40085 Renaissance Pharma, Inc. 42794 Signapharm Laboratories, LLC.

41616 Sun Pharma Global, Inc. 42799 Edenbridge Pharmaceuticals LLC.

42023 JHP Pharmaceuticals, LLC.

42806 Epic Pharma LLC.

42043 Karalex Pharma, LLC. 42847 Somaxon Pharmaceuticals, Inc.

42192 Acella Pharmaceuticals, LLC

42858 Rhodes Pharmaceuticals, L.P.

42195 Xspire Pharma 42865 Eurand Pharmaceuticals, Inc.

42211 Iroko Pharmaceuticals LLC.

42998 Marathon Pharmaceuticals, LLC.

42227 Lev Pharmaceuticals 43066 Baxter Healthcare Corporation

42238 Vidara Therapeutics Inc. 43068 Vanda Pharmaceuticals, Inc.

42292 Mylan Institutional Inc. 43199 County Line Pharmaceuticals, LLC.

42358 Sentynl Therapeutics 43376 Zogenix, Inc.

42367 Eagle Pharmaceuticals, Inc.

43386 Gavis Pharmaceuticals, LLC.

42385 Laurus Labs Limited 43393 Genbiopro, Inc.

42388 Exelixis, Inc. 43469 Zars Pharma, Inc.

42457 Emmaus Medical, Inc. 43485 Aprecia Pharmaceuticals Company

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NDC Labeler Code


NDC Labeler Code


43538 Medimetriks Pharmaceuticals, Inc.

46783 Merz Aesthetics, Inc.

43547 Solco Healthcare US, LLC. 47335 Sun Pharma Global Fze

43553 Convatec Inc. (end-dated effective July 1, 2020)

47426 Heron Therapeutics, Inc.

43598 Dr. Reddy’s Laboratories, Inc.

47781 Alvogen Inc.

43773 Slate Pharmaceuticals, Inc. 47783 Dyax Corp

43975 Amerigen Pharmaceuticals, Inc.

47918 Mannkind Corporation

44087 Serono Inc. 48102 Fera Pharmaceuticals, LLC.

44183 Macoven Pharmaceuticals, LLC.

48818 Allos Therapeutics Inc.

44206 Csl Behring, LLC. 49230 Fresenius Medical Care North America

44523 Biocomp Pharma, Inc. 49281 Aventis Pasteur, Inc.

44567 Wg Critical Care, LLC. 49348 Mc Kesson Corp.-Valu-Rite

45043 Manchester Pharmaceuticals, Inc.

49483 Time-Cap Labs, Inc.

45802 Perrigo Pharmaceuticals 49401 Human Genome Sciences, Inc.

45945 CNS Therapeutics Inc. 49411 Clover Pharmaceuticals Corporation

45963 Actavis, Inc. 49502 Dey L.P.

46017 Mylan Consumer Healthcare, Inc.

49663 Raptor Therapeutics, Inc.

46122 Amerisource Bergen Drug Company

49702 Viiv Healthcare

46287 Carolina Medical Products Company

49708 Caraco Pharma Inc.

46672 Mikart, Inc. 49730 Hercon Pharmaceuticals, LLC.

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NDC Labeler Code


NDC Labeler Code


49808 Metacon Labs 50967 Women's Choice Pharmaceuticals, LLC.

49884 Par Pharmaceutical Inc. 50991 Poly Pharmaceutical Co., Inc.

49909 Edgemont Pharmaceuticals, LLC.

51021 Sircle Laboratories, LLC.

49938 Jacobus Pharmaceutical Co., Inc.

51079 Udl Laboratories, Inc.

50102 Afaxys, Inc. 51144 Seattle Genetics Inc.

50111 Pliva, Inc. 51167 Vertex Pharmaceuticals, Inc.

50222 Leo Pharma Inc. 51224 Tagi Pharma, Inc.

50228 Sciegen Pharmaceuticals, Inc.

51248 Astellas

50236 QLT Ophthalmics Inc. (end-dated effective July 1, 2020)

51267 Nalpropion Pharmaceuticals

50242 Genentech, Inc. 51285 Teva Womens Health Inc

50261 Therapeuticsmd 51293 ECI Pharmaceuticals LLC

50268 Avpak 51525 Wallace Pharmaceuticals

50383 Hi-Tech Pharmacal Co., Inc.

51645 Gemini Pharmaceuticals, Inc.

50419 Bayer Healthcare Pharmaceuticals

51660 Ohm Laboratories, Inc.

50458 Janssen Pharmaceuticals, Inc.

51672 Taro Pharmaceuticals, Inc.

50474 Ucb Pharma, Inc. 51754 Exela Pharma Sciences

50484 Smith & Nephew, Inc. 51759 Nupathe Inc.

50742 Ingenus Pharmaceuticals, LLC.

51801 Nomax, Inc.

50844 LNK International, Inc. 51862 Libertas Pharma, Inc.

50881 Inc.Yte Corporation 51991 Breckenridge Pharmaceutical, Inc.

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NDC Labeler Code


NDC Labeler Code


52015 Optimer Pharmaceuticals, Inc.

53097 The Pharma Network, LLC

52054 Amedra Pharmaceuticals, LLC

53270 Cangene Bio Pharma

52118 Theravance Biopharma US, Inc. (end-dated effective July 1, 2020)

53436 Relypsa, Inc.

52244 Actient Pharmaceuticals 53451 Xenoport, Inc.

52246 Parapro, LLC 53489 Mutual Pharmaceutical Company, Inc.

52268 Braintree Laboratories Inc. 53746 Amneal Pharmaceuticals

52276 Orphan Europe, Sarl 54092 Shire Us Inc.

52427 Almatica Inc. 54123 Orexo Us, Inc.

52440 Titan Pharmaceuticals, Inc. 54295 Trinity Pharmaceuticals LLC

52536 Wilshire Pharmaceuticals, Inc.

54436 Antares Pharma, Inc.

52544 Watson Laboratories, Inc. 54458 International Labs, Inc.

52565 Igi Laboratories, Inc. 54482 Sigma-Tau Pharmaceuticals, Inc.

52609 Apo-Pharma USA, Inc. 54505 Lineage Therapeutics Inc.

52652 Silvergate Pharmaceuticals, Inc.


52747 U.S. Pharmaceutical Corporation

54766 Sebela Pharmaceuticals, Inc.

52796 Bon Geo Pharmaceuticals, Inc.

54838 Silarx Pharmaceuticals, Inc.

52817 Trupharma, LLC 54859 Llorens Pharmaceutical International Div.

52856 PTC Therapeutics, Inc. 54879 Sti Pharma, LLC

52937 Amarin Pharmaceuticals, Ireland Ltd

54932 Bioramo, LLC. (added effective July 1, 2020)

53014 Celltech Pharmaceuticals 55111 Dr. Reddy’s Laboratories, Inc.

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NDC Labeler Code


NDC Labeler Code


55135 Immunomedics, Inc. (added effective July 1, 2020)

57970 Durata Therapeutics, Inc.

55150 Auromedics Pharma Llc 58281 Medtronic, Inc.

55253 Cima Labs 58284 Braeburn Pharmaceuticals, Inc.

55292 Recordati Rare Diseases, Inc.

58394 Genetics Institute, Inc.

55466 Neolpharma, Inc. 58406 Amgen/Immunex

55494 Duchesnay USA, Inc. 58407 Magna Pharmaceuticals, Inc.

55513 Amgen Inc. 58463 Pragma Pharmaceuticals, LLC

55566 Ferring Pharmaceuticals, Inc.

58468 Genzyme Corporation

55670 Moore Medical (added effective July 1, 2020)

58517 New Horizon Rx Group, LLC

55724 Anacor Pharmaceuticals 58605 MCR-American Pharmaceuticals, Inc.

57237 Citron Pharma, LLC 58657 Method Pharmaceuticals

57278 Rockwell Medical, Inc. 58809 GM Pharmaceuticals, Inc.

57664 Caraco Pharmaceutical Laboratories Ltd.

58914 Axcan Scandipharm, Inc.

57665 Enzon, Inc. 59011 Purdue Pharma L.P.

57782 Bausch & Lomb Pharmaceuticals, Inc.

59088 Puretek Corporation

57841 Redhill Biopharma, Inc. (added effective July 1, 2020)

59137 Medac Pharma, Inc.

57844 Gate Pharmaceuticals 59148 Otsuka America Pharmaceuticals, Inc.

57881 Galena Biopharma, Inc. 59310 Teva Respiratory, LLC

57894 Centocor, Inc. 59338 Amag Pharmaceuticals, Inc.

57902 Eusa Pharma (USA), Inc. 59353 Vifor (International) Inc.

57962 Pharmacyclics, Inc. 59365 Coopersurgical Inc.

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NDC Labeler Code


NDC Labeler Code


59385 Biodelivery Sciences International, Inc.

60432 Morton Grove Pharmaceuticals, Inc.

59417 Shire Us, Inc. 60505 Apotex Corp.

59467 Hikma Specialty USA Inc. 60574 Medimmune, Inc.

59528 Nephro-Tech, Inc. 60631 Arbor Pharmaceuticals Ireland Limited

59572 Celgene Corporation 60687 American Health Packaging

59617 Greer Laboratories, Inc. 60758 Pacific Pharma

59627 Biogen, Inc. 60793 King Pharmaceuticals, Inc.

59630 Sciele Pharma, Inc. 60846 Gemini Laboratories, LLC

59651 Aurobindo Pharma USA, Inc.

60923 Sarepta Therapeutics Inc.

59676 Janssen Products, LP. 60951 Endo Pharmaceuticals, Inc.

59730 Biotest Pharmaceuticals Corporation


59746 Cadista Pharmaceuticals Inc.

61269 H2-Pharma, LLC

59762 Pfizer, Inc. 61314 Falcon Pharmaceuticals Ltd.

59767 Digestive Care, Inc 61364 Biocryst Pharmaceuticals, Inc.

59917 Adare Pharmaceuticals, Inc.

61442 Carlsbad Technology, Inc.

59922 Keryx Biopharmaceuticals, Inc.

61570 Monarch Pharmaceutical Corporation

59923 Areva Pharmaceuticals 61621 Acelrx Pharmaceuticals, Inc.

60258 Cypress Pharmaceutical, Inc.

61703 Mayne Pharma (USA), Inc.

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NDC Labeler Code


NDC Labeler Code


61748 Versapharm, Inc. 62756 Sun Pharmaceutical Industries, Inc.

61755 Regeneron Pharmaceuticals, Inc.

62847 Theravance Biopharma Antibiotics, Inc.

61874 Actavis Pharma, Inc. 62856 Eisai, Inc.

61953 Grifols Biologicals, Inc. 62935 Tolmar Pharmaceuticals, Inc.

61958 Gilead Sciences, Inc. 63004 Questcore Pharmaceuticals, Inc.

61971 Vista Pharmaceuticals, Inc. 63010 Pfizer, Inc

61990 Apollo Pharmaceuticals USA Inc.

63020 Millennium Pharmaceuticals, Inc.

62011 Mckesson Corp. 63044 Nnodum Corporation

62037 Watson Pharma, Inc. 63090 Acadia Pharmaceuticals, Inc.

62064 Theratechnologies Inc. 63304 Ranbaxy Pharmaceuticals, Inc.

62107 Prime Marketing, LLC 63323 American Pharmaceutical Partners

62135 Chartwell Rx LLC 63395 Daiichi Sankyo, Inc.

62175 Kremers Urban, Inc. 63402 Sepracor, Inc.

62225 Omeros Corporation 63459 Cephalon, Inc.

62332 Alembic Pharmaceuticals Inc.

63481 Endo Pharmaceuticals, Inc.

62484 Nova Laboratories, Ltd 63646 Tolmar, Inc.

62541 Vivus, Inc. 63653 Bristol Myers Squibb/Sanofi Partnership

62542 Neos Therapeutics, Inc. 63704 Pharmacist Pharmaceutical LLC

62559 Anip Acquisition Company 63717 Hawthorn Pharmaceuticals

62584 American Health Packaging

63739 Mckesson Packaging Service, A Division

62592 Ucyclyd Pharma, Inc. (end-dated effective July 1, 2020)

63801 Seven Oaks Pharmaceutical Corp.

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NDC Labeler Code


NDC Labeler Code


63824 Reckitt Benckiser, Inc. 64720 Auriga Laboratories, Core Pharma

63833 CSL Behring GMBH 64764 Takeda Pharmaceuticals America

63868 Chain Drug Marketing Association, Inc.

64842 Taiho Pharmaceutical Co. Ltd.

64011 Amag Pharmaceuticals, Inc.

64875 Danco Laboratories, LLC

64116 Intermune Pharmaceuticals, Inc.

64896 Impax Laboratories, Inc.

64125 Excellium Pharmaceutical, Inc.

64950 Lehigh Valley Technologies, Inc.


64980 Rising Pharmaceuticals, Inc.

64208 Bio Products Laboratory 65162 Amneal Pharmaceuticals LLC

64253 Medefil, Inc. 65219 Fresenius Kabi (added effective July 1, 2020)

64370 Pierre Fabre Medicament 65224 Zyber Pharmaceuticals, Inc.

64376 Boca Pharmacal, Inc. 65293 The Medicines Company

64380 Strides Arcolab Limited 65483 Prometheus Laboratories, Inc.

64406 Biogen Idec, Inc. 65580 Upstate Pharma, LLC

64455 BTA Pharmaceuticals, Inc. 65597 Daiichi Sankyo, Inc.

64543 Capellon Pharmaceuticals Ltd

65628 Cutispharma, Inc.

64597 Avanir Pharmaceuticals, Inc.

65649 Salix Pharmaceuticals, Inc.

64661 Jaymac Pharmaceuticals, Llc

65757 Alkermes, Inc.

64679 Wockhardt Americas 65847 Scios, Inc.

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NDC Labeler Code


NDC Labeler Code


65862 Aurobindo Pharma Ltd. 66869 Kowa Pharmaceuticals America Inc.

66215 Actelion Pharmaceuticals 66887 Auxilium Pharmaceuticals, Inc.

66220 Cumberland Pharmaceuticals, Inc.

66993 Prasco Laboratories

66302 United Therapeutics Corporation


66424 SDA Laboratories, Inc. (end-dated effective July 1, 2020)

67112 Medecor Pharma, LLC

66435 Kadmon Pharmaceuticals, LLC

67253 Dava International Inc.

66490 Valeant Pharmaceuticals North America

67308 Dusa Pharmaceuticals, Inc.

66530 Spear Dermatology Products, Inc.

67386 Lundbeck Inc.

66582 Merck/Schering-Plough JV 67405 Harris Pharmaceutical, Inc.

66594 Pro-Pharma LLC (end-dated effective July 1, 2020)

67457 Bioniche Pharma

66621 Rare Disease Therapeutics, Inc.

67618 Purdue Products, L.P.

66658 Biovitrum AB 67767 Actavis South Atlantic (end-dated effective July 1, 2020)

66685 Lek Pharmaceuticals, Inc. 67857 Promius Pharma, LLC

66689 Vistapharm Inc. 67877 Ascend Laboratories

66733 Imclone Systems, Inc. 67919 Cubist Pharmaceuticals, Inc.

66758 Parenta Pharmaceuticals, Inc.

67979 Indevus Pharmaceuticals, Inc.

66780 Amylin Pharmaceuticals, Inc. (end-dated effective July 1, 2020)

68001 Bluepoint Laboratories

66794 Piramal Critical Care 68012 Santarus, Inc.

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NDC Labeler Code


NDC Labeler Code


68025 Vertical Pharmaceuticals, Inc.

68727 Jazz Pharmaceuticals, Inc.

68047 Larken Laboratories, Inc. 68782 Eyetech Pharmaceuticals, Inc.

68084 American Health Packaging

68791 Royal Pharmaceuticals, LLC.

68094 Precision Dose, Inc. 68817 Abraxis Bioscience, LLC

68134 Palmetto Pharmaceuticals, Inc.

68850 Stat-Trade, Inc.

68135 Biomarin Pharmaceuticals, Inc.

68875 Nps Pharmaceuticals, Inc.

68152 Spectrum Pharmaceuticals, Inc.

68968 Noven Therapeutics, LLC.

68180 Lupin Pharmaceuticals, Inc.

68974 Retrophin, Inc.

68220 Alaven Pharmaceutical, LLCP

68982 Octapharma USA, Inc.

68308 Midlothian Laboratories, LLC

68992 Veloxis Pharmaceuticals

68382 Zydus Pharmaceuticals (USA) Inc.

69076 Quinn Pharmaceuticals, LLC

68418 Biocodex, Inc. 69087 Clarus Therapeutics, Inc.

68462 Glenmark Pharmaceuticals, Inc., USA

69097 Cipla USA, Inc.

68516 Grifols Biologicals Inc. 69102 Owp Pharmaceuticals

68546 Teva Neuroscience, Inc. 69117 Yiling Pharmaceutical, Inc

68599 Mckesson Medical Surgical (added effective July 1, 2020)

69230 Camber Consumer Care Inc.

68611 Alimera Sciences, Inc. 69238 Amneal Pharmaceuticals, LLC

68645 Legacy Pharmaceutical Packaging, LLC

69251 Otonomy, Inc.

68682 Oceanside Pharmaceuticals

69292 Amici Pharmaceuticals LLC

68712 JSJ Pharmaceuticals 69315 Leading Pharma, LLC

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NDC Labeler Code


NDC Labeler Code


69339 Dash Pharmaceuticals, LLC.

69794 Ultragenyx Pharmaceutical Inc.

69344 Egalet Us Inc. 69800 Adma Biologics, Inc.

69367 Westminster Pharmaceuticals, LLC

69809 Hls Therapeutics (USA), Inc.

69387 Banner Life Sciences LLC 69853 Portola Pharmaceuticals, Inc.

69413 Turing Pharmaceuticals LLC

69865 Depo NF Sub, LLC

69448 Accord Biopharma Inc. 69911 CSL Behring Recombinant Facility Ag

69452 Bionpharma, Inc. 69918 Amring Pharmaceuticals, Inc.

69488 Advanced Accelerator Applications USA

69932 Blue Earth Diagnostics

69516 Intercept Pharmaceuticals, Inc.

70000 Cardinal Health 110, LLC. Dba Leader

69543 Virtus Pharmaceuticals, LLC

70003 Jacksonville Pharmaceuticals, Inc.

69547 Adapt Pharma Inc. 70007 Espero Pharmaceuticals, Inc.

69557 Scilex Pharmaceuticals 70010 Granules Pharmaceuticals, Inc.

69584 Oxford Pharmaceuticals, LLC

70020 R-Pharm US Operating, LLC.

69616 Catalyst Pharmaceuticals, Inc.

70069 Somerset Therapeutics, LLC.

69639 Helsinn Therapeutics (U.S.), Inc.

70114 Coherus Biosciences, Inc.

69656 Tesaro Inc. 70127 Greenwich Biosciences Inc.

69660 Clovis Oncology, Inc. 70154 Monarch Pcm, LLC

69680 Vitruvias Therapeutics, Inc. 70156 Noble Pharmaceuticals (added effective July 1, 2020)

69784 Woodward Pharma Services LLC

70165 Neos Therapeutics, LP

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NDC Labeler Code


NDC Labeler Code


70183 Lexicon Pharmaceuticals, Inc.

70515 Covis Pharma S.A.R.L.

70194 Synergy Pharmaceuticals, Inc.

70539 Radius Health, Inc.

70199 Casper Pharma LLC 70564 Napo Pharmaceuticals, Inc.

70211 Tychasis Corporation 70594 Xellia Pharmaceuticals USA, LLC

70255 Array Biopharma Inc. 70621 Biofrontera Inc.

70257 Saol Therapeutics, Inc. 70644 Genericus, Inc.

70301 Opko Pharmaceuticals, LLC

70655 Renaissance Lakewood, LLC.

70347 Aralez Pharmaceuticals, Inc.

70677 Mckesson Corporation

70352 Skylar Laboratories, LLC 70700 Xiromed, LLC.

70363 Cutanea Life Sciences LLC (added effective July 1, 2020)

70709 Cycle Pharmaceuticals, Ltd.

70370 Neurocrine Biosciences, Inc.

70710 Zydus Pharmaceuticals (USA) Inc.

70377 Biocon Pharma Inc. 70720 Tersera Therapeutics LLC

70382 Ocular Therapeutix, Inc. 70726 ITF Pharma, Inc.

70403 Aru Pharma Inc. 70727 Aerie Pharmaceuticals, Inc.

70428 Dermira, Inc. 70748 Lupin Pharmaceuticals Inc.

70436 Slate Run Pharmaceuticals, LLC

70752 Quagen Pharmaceuticals LLC

70437 Puma Biotechnology, Inc. 70801 Flexion Therapeutics, Inc.

70482 Adamas Pharma LLC 70839 Noden Pharma Usa, Inc.

70504 Aptevo Biotherapeutics LLC

70842 Melinta Therapeutics, Inc

70505 Analog Pharma, Inc. 70860 Athenex Pharmaceutical Division, LLC

70510 Mitsubishi Tanabe Pharma America, Inc.

70954 Novitium Pharma LLC

drugs cdl p5 19




NDC Labeler Code


NDC Labeler Code


71045 Achaogen, Inc. 71626 Medstone Pharma LLC

71090 Strongbridge U.S. Inc. 71699 SK Life Science, Inc. (added effective July 1, 2020)

71093 Aci Healthcare USA, Inc. 71715 Paratek Pharmaceuticals, Inc.

71104 Bioverativ US LLC 71717 Megalith Pharmaceuticals Inc.

71143 Optinose US, Inc. 71770 Medunik USA

71225 Slayback Pharma 71773 Tetraphase Pharmaceuticals, Inc.

71258 Progenics Pharmaceuticals, Inc.

71776 Eyevance Pharmaceuticals LLC (added effective July 1, 2020)

71274 Pharming Healthcare Inc. 71777 Loxo Oncology, Inc.

71287 Kite Pharma, Incorporated 71779 Verastem, Inc.

71332 Rigel Pharmaceuticals, Inc. 71881 Aimmune Therapeutics, Inc.

71334 Agios Pharmaceuticals, Inc.

71839 Be Pharmaceuticals Inc.

71336 Alnylam Pharmaceuticals, Inc.

71858 Ibsa Pharma, Inc.

71351 Brookfield Pharmaceuticals, LLC

71863 Eton Pharmaceuticals, Inc.

71369 Akarx, Inc. 71879 Eyepoint Pharmaceuticals US, Inc.

71376 Ironshore Pharmaceuticals, Inc.

71894 Avexis Inc.

71394 Spark Therapeutics, Inc. 71904 Amicus Therapeutics, Inc.

71403 Epi Health, LLC 71930 Eywa Pharma

71428 Glasshouse Pharmaceuticals LLC

71981 Dompé Farmaceutici S.P.A.

71518 Baudax Bio, Inc. (added effective July 1, 2020)

72000 Nabriva Therapeutics US, Inc.

71558 Insmed Incorporated 72028 Harmony Biosciences, LLC

71571 Kala Pharmaceuticals Inc. 72060 Intra-Cellular Therapies, Inc.

drugs cdl p5 20




NDC Labeler Code


NDC Labeler Code


72064 Blueprint Medicines Corporation

72572 Civica, Inc.

72065 Xeris Pharmaceuticals, Inc. 72579 Beigene USA, Inc.

72124 Circassia Pharmaceuticals Inc.

72578 Viona Pharmaceuticals Inc.

72126 Akcea Therapeutics, Inc. 72603 Northstar Rx LLC

72152 Sage Therapeutics 72606 Celltrion Usa, Inc.

72171 Novimmune S.A. 72607 Epizyme, Inc.

72187 Stemline Therapeutics, Inc. 72611 Almaject, Inc

72205 Novadoz Pharmaceuticals, Llc

72618 Biohaven Pharmaceuticals, Inc.

72252 Neurelis, Inc. 72626 Asegua Therapeutics LLC

72237 Karyopharm Therapeutics 72647 Oakrum Pharma, LLC

72245 Forte Bio-Pharma LLC 72694 Servier Pharmaceuticals LLC

72266 Fosun Pharma Usa 72721 Heartwood Pharma

72305 Provell Pharmaceuticals, Llc.

72733 Sanofi US Corporation

72356 Foamix Pharmaceuticals Inc.

72786 Global Blood Therapeutics, Inc.

72426 Esperion Therapeutics, Inc. 72893 Acrotech Biopharma LLC

72485 Armas Pharmaceuticals Inc.

72912 Adlon Therapeutics L.P.

72493 Urogen Pharma, Inc. (added effective June, 16, 2020)

72928 Q Biomed, Inc.

72495 Millicent U.S., Inc. 73070 Novo Nordisk Pharma, Inc

72508 Neopharma Inc. 73207 Deciphera Pharmaceuticals, LLC

72511 Amgen Usa Inc. 75826 Winder Laboratories, LLC

72512 Averitas Pharma, Inc. 75834 Nivagen Pharmaceuticals Inc.

drugs cdl p5 21




NDC Labeler Code


NDC Labeler Code


75854 Avion Pharmaceuticals 76329 International Medication Systems, Ltd

75987 Horizon Pharma, Inc 76336 HRA Pharma America Inc.

76045 BD Rx, Inc 76346 Corcept Therapeutics Incorporated

76075 Onyx Pharmaceutical 76385 Bayshore Pharmaceuticals LLC

76125 Kendrion Biopharma, Inc 76388 Aspen Global Inc

76179 Kedrion Biopharma, Inc. 76431 Aegerion Pharmaceuticals, Inc.

76189 Ariad Pharmaceuticals, Inc. 76439 Virtus Pharmaceuticals, LLC

76204 Ritedose Pharmaceuticals, LLC

89141 Dara Biosciences, Inc

76282 Exelan Pharmaceuticals, Inc

99207 Medicis Dermatologics Inc.

76299 Mist Pharmaceuticals, LLC 99999 Compounded By Pharmacist

drugs cdl p5 22



‹‹Legend››

‹‹Symbols used in the document above are explained in the following table.››

Symbol Description

‹‹ This is a change mark symbol. It is used to indicate where on the page the most recent change begins.

›› This is a change mark symbol. It is used to indicate where on the page the most recent change ends.

♦ Reimbursement of drugs made by this manufacturer was based on the direct price of this manufacturer for dates of service prior to December 1, 2002.

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