NDC codes

FDA NDC Directory
Product NDC (as listed)0006-4109Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00006-4109Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0006-4109-020000641090210 SYRINGE in 1 CARTON (0006-4109-02) / .5 mL in 1 SYRINGE (0006-4109-01)Marketed from Jun 8, 2006
0006-4109-09000064109096 SYRINGE in 1 CARTON (0006-4109-09) / .5 mL in 1 SYRINGE (0006-4109-01)Marketed from Jun 8, 2006

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Gardasil
Generic name (nonproprietary)
human papillomavirus quadrivalent (types 6, 11, 16, and 18) vaccine, recombinant
Active ingredients
Human papillomavirus type 6 l1 capsid protein antigen — 20 ug/.5mLHuman papillomavirus type 11 l1 capsid protein antigen — 40 ug/.5mLHuman papillomavirus type 16 l1 capsid protein antigen — 40 ug/.5mLHuman papillomavirus type 18 l1 capsid protein antigen — 20 ug/.5mL
Dosage form
Injection, Suspension
Route
Intramuscular
Product type
Vaccine
Marketing category
BLA — Biologics License ApplicationApplication BLA 125126
Marketing start
Listing expires
Other FDA classes
Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Papillomavirus Vaccines (Chemical structure)Papillomavirus Vaccines (Chemical structure)Papillomavirus Vaccines (Chemical structure)Papillomavirus Vaccines (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)
Identifiers
Product ID 0006-4109_32651aaa-4a24-4e44-8d7f-9960705a382fSPL ID 32651aaa-4a24-4e44-8d7f-9960705a382f
Pharmacologic class
Inactivated Human Papillomavirus Vaccine

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeMed-Code curated

CPT 90651 — Vaccine product code for GARDASIL 9 (human papillomavirus 9-valent vaccine)

Billing unit: 1 dose. Units on the claim = dose given ÷ 1 dose.

Administration

Immunization administration (CPT 90460–90474)

Giving a vaccine is reported separately from the vaccine product code, with an immunization administration code. Which code applies depends on the patient's age, the route and whether counselling was provided.

How CPT relates to drug billing

NDC on a medical claim

N400006410902 followed by a unit qualifier and the quantity

Package 00006-4109-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

The FDA listing for this product does not reference a label (SPL) set.

Other NDCs under BLA 125126

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under BLA 125126
ProductStrengthForm · routeLabelerProduct NDC
Gardasilhuman papillomavirus quadrivalent (types 6, 11, 16, and 18) vaccine, recombinantHuman papillomavirus type 6 l1 capsid protein antigen 20 ug/.5mL + 3 more ingredientsInjection, SuspensionIntramuscularMerck Sharp & Dohme LLC0006-4045

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