NDC codes

FDA NDC Directory
Product NDC (as listed)0069-0294Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00069-0294Add 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
0069-0294-100006902941010 VIAL, SINGLE-DOSE in 1 CARTON (0069-0294-10) / 1.6 mL in 1 VIAL, SINGLE-DOSE (0069-0294-01)Marketed from Mar 11, 2019

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)
Nivestym
Generic name (nonproprietary)
filgrastim-aafi
Active ingredients
Filgrastim — 480 ug/1.6mL
Dosage form
Injection, Solution
Route
Intravenous, Subcutaneous
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 761080
Marketing start
Listing expires
Other FDA classes
Granulocyte Colony-Stimulating Factor (Chemical structure)Increased Myeloid Cell Production (Physiologic effect)
Identifiers
Product ID 0069-0294_e73179c2-1306-443c-a5ed-d2748e96147cSPL ID e73179c2-1306-443c-a5ed-d2748e96147cSPL set ID d23ab39c-b6ec-41cf-a529-9dd2852c9d9aRxCUI 2057200, 2057205, 2057209, 2057212, 2057215, 2057216, 2057218, 2057219UNII PVI5M0M1GW
Pharmacologic class
Leukocyte Growth Factor

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

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N400069029410 followed by a unit qualifier and the quantity

Package 00069-0294-10. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

NIVESTYM is a leukocyte growth factor indicated to • Decrease the incidence of infection‚ as manifested by febrile neutropenia‚ in patients with nonmyeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a significant incidence of severe neutropenia with fever. ( 1.1 ) • Reduce the time to neutrophil recovery and the duration of fever, following induction or consolidation chemotherapy treatment of patients with acute myeloid leukemia (AML). ( 1.2 ) • Reduce the duration of neutropenia and neutropenia-related clinical sequelae‚ e.g.‚ febrile neutropenia, in patients with nonmyeloid malignancies undergoing myeloablative chemotherapy followed by bone marrow transplanta…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under BLA 761080

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

FDA NDC Directory listings under BLA 761080
ProductStrengthForm · routeLabelerProduct NDC
Nivestymfilgrastim-aafiFilgrastim 480 ug/.8mLInjection, SolutionSubcutaneousPfizer Laboratories Div Pfizer Inc0069-0292
Nivestymfilgrastim-aafiFilgrastim 300 ug/mLInjection, SolutionIntravenous, SubcutaneousPfizer Laboratories Div Pfizer Inc0069-0293
Nivestymfilgrastim-aafiFilgrastim 300 ug/.5mLInjection, SolutionSubcutaneousPfizer Laboratories Div Pfizer Inc0069-0291

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