NDC codes

FDA NDC Directory
Product NDC (as listed)0069-1558Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00069-1558Add 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
0069-1558-02000691558021 BOTTLE, GLASS in 1 CARTON (0069-1558-02) / 300 mL in 1 BOTTLE, GLASS (0069-1558-01)Marketed from Aug 9, 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)
Panzyga
Generic name (nonproprietary)
immune globulin intravenous (human)
Active ingredients
Human immunoglobulin g — 100 mg/mL
Dosage form
Solution
Route
Intravenous
Product type
Plasma derivative
Marketing category
BLA — Biologics License ApplicationApplication BLA 125587
Marketing start
Listing expires
Other FDA classes
Antigen Neutralization (Mechanism)Immunoglobulins (Chemical structure)Passively Acquired Immunity (Physiologic effect)
Identifiers
Product ID 0069-1558_fb008bad-3696-e7b9-d3f8-3718e16e19d8SPL ID fb008bad-3696-e7b9-d3f8-3718e16e19d8
Pharmacologic class
Human Immunoglobulin G

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

N400069155802 followed by a unit qualifier and the quantity

Package 00069-1558-02. 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 125587

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

FDA NDC Directory listings under BLA 125587
ProductStrengthForm · routeLabelerProduct NDC
Panzygaimmune globulin intravenous (human)Human immunoglobulin g 100 mg/mLSolutionIntravenousPfizer Laboratories Div Pfizer Inc0069-1224
Panzygaimmune globulin intravenous (human)Human immunoglobulin g 100 mg/mLSolutionIntravenousPfizer Laboratories Div Pfizer Inc0069-1312
Panzygaimmune globulin intravenous (human)Human immunoglobulin g 100 mg/mLSolutionIntravenousOctapharma USA Inc68982-822
Panzygaimmune globulin intravenous (human)Human immunoglobulin g 100 mg/mLSolutionIntravenousPfizer Laboratories Div Pfizer Inc0069-1109
Panzygaimmune globulin intravenous (human)Human immunoglobulin g 100 mg/mLSolutionIntravenousPfizer Laboratories Div Pfizer Inc0069-1415
Panzygaimmune globulin intravenous (human)Human immunoglobulin g 100 mg/mLSolutionIntravenousPfizer Laboratories Div Pfizer Inc0069-1011

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