NDC codes

FDA NDC Directory
Product NDC (as listed)0006-4171Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00006-4171Add 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
0006-4171-000000641710010 VIAL, SINGLE-DOSE in 1 CARTON (0006-4171-00) / .5 mL in 1 VIAL, SINGLE-DOSE (0006-4171-01)Marketed from Jul 1, 2015

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)
ProQuad
Generic name (nonproprietary)
measles, mumps, rubella and varicella virus vaccine live
Active ingredients
Measles virus strain enders' attenuated edmonston live antigen — 1000 [TCID_50]/.5mLMumps virus strain b level jeryl lynn live antigen — 20000 [TCID_50]/.5mLRubella virus strain wistar ra 27/3 live antigen — 1000 [TCID_50]/.5mLVaricella-zoster virus strain oka/merck live antigen — 9772 [PFU]/.5mL
Dosage form
Injection, Powder, Lyophilized, For suspension
Route
Intramuscular, Subcutaneous
Product type
Vaccine
Marketing category
BLA — Biologics License ApplicationApplication BLA 125108
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)Chickenpox Vaccine (Chemical structure)Herpes Zoster Vaccine (Chemical structure)Measles Vaccine (Chemical structure)Mumps Vaccine (Chemical structure)Rubella Vaccine (Chemical structure)Attenuated (Chemical structure)Attenuated (Chemical structure)Attenuated (Chemical structure)Attenuated (Chemical structure)
Identifiers
Product ID 0006-4171_3210a402-69c8-4d73-8ff3-42c454fd2ad7SPL ID 3210a402-69c8-4d73-8ff3-42c454fd2ad7
Pharmacologic class
Live Attenuated Herpes Zoster Virus Vaccine; Live Attenuated Measles Virus Vaccine; Live Attenuated Mumps Virus Vaccine; Live Attenuated Rubella Virus Vaccine; Live Attenuated Varicella Zoster Virus 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 codeNo match

No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

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

N400006417100 followed by a unit qualifier and the quantity

Package 00006-4171-00. 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.

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