NDC codes

FDA NDC Directory
Product NDC (as listed)0074-2600Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00074-2600Add 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
0074-2600-28000742600281 PACKET in 1 CARTON (0074-2600-28) / 28 PELLET in 1 PACKETMarketed from Jun 22, 2021

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)
Mavyret
Generic name (nonproprietary)
glecaprevir and pibrentasvir
Active ingredients
Pibrentasvir — 20 mg/1Glecaprevir — 50 mg/1
Dosage form
Pellet
Route
Oral
Labeler
AbbVie Inc.NDC labeler code 0074
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 215110
Marketing start
Listing expires
Other FDA classes
Breast Cancer Resistance Protein Inhibitors (Mechanism)Breast Cancer Resistance Protein Inhibitors (Mechanism)Cytochrome P450 1A2 Inhibitors (Mechanism)Cytochrome P450 1A2 Inhibitors (Mechanism)Cytochrome P450 3A Inhibitors (Mechanism)Cytochrome P450 3A Inhibitors (Mechanism)HCV NS3/4A Protease Inhibitors (Mechanism)Organic Anion Transporting Polypeptide 1B1 Inhibitors (Mechanism)Organic Anion Transporting Polypeptide 1B1 Inhibitors (Mechanism)Organic Anion Transporting Polypeptide 1B3 Inhibitors (Mechanism)Organic Anion Transporting Polypeptide 1B3 Inhibitors (Mechanism)P-Glycoprotein Inhibitors (Mechanism)P-Glycoprotein Inhibitors (Mechanism)UGT1A1 Inhibitors (Mechanism)UGT1A1 Inhibitors (Mechanism)
Identifiers
Product ID 0074-2600_c1aa97e0-7350-4286-ac17-915bcdf0b08aSPL ID c1aa97e0-7350-4286-ac17-915bcdf0b08aSPL set ID 7bf99777-0401-9095-8645-16c6e907fcc0RxCUI 1940703, 1940709, 2557906, 2557910UNII K6BUU8J72P, 2WU922TK3L
Pharmacologic class
Hepatitis C Virus NS3/4A Protease Inhibitor; Hepatitis C Virus NS5A Inhibitor

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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400074260028 followed by a unit qualifier and the quantity

Package 00074-2600-28. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

MAVYRET is indicated for the treatment of adult and pediatric patients 3 years and older with acute or chronic hepatitis C virus (HCV) genotype 1, 2, 3, 4, 5 or 6 infection without cirrhosis or with compensated cirrhosis (Child-Pugh A). MAVYRET is indicated for the treatment of adult and pediatric patients 3 years and older with HCV genotype 1 infection, who previously have been treated with a regimen containing an HCV NS5A inhibitor or an NS3/4A protease inhibitor (PI), but not both [see Dosage and Administration ( 2.2 ) and Clinical Studies ( 14 )]. MAVYRET is a fixed-dose combination of glecaprevir, a hepatitis C virus (HCV) NS3/4A protease inhibitor, and pibrentasvir, an HCV NS5A inhibit…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0074-2600

What is NDC 0074-2600?
0074-2600 is the product NDC for Mavyret, Pibrentasvir 20 mg/1; Glecaprevir 50 mg/1 pellet, listed with the FDA by AbbVie Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Mavyret (Glecaprevir and Pibrentasvir).
What is the active ingredient?
Pibrentasvir, Glecaprevir.
Who is the labeler?
AbbVie Inc., NDC labeler code 0074. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Mavyret?
1 other product NDC are listed under this name. See all Mavyret NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Mavyret NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Mavyretglecaprevir and pibrentasvirPibrentasvir 40 mg/1; Glecaprevir 100 mg/1Tablet, Film coatedOralAbbVie Inc.0074-262500074-2625-0400074-2625-2800074-2625-56+1 more

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