NDC codes

FDA NDC Directory
Product NDC (as listed)0074-3663Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00074-3663Add 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
0074-3663-03000743663031 KIT in 1 CARTON (0074-3663-03) * 1.5 mL in 1 SYRINGE * 1 mL in 1 PACKETMarketed from Nov 8, 2010

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)
Lupron Depot
Generic name (nonproprietary)
leuprolide acetate
Dosage form
Kit
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020708
Marketing start
Listing expires
Identifiers
Product ID 0074-3663_fef36994-8fde-4b22-99a9-aa850c147eeeSPL ID fef36994-8fde-4b22-99a9-aa850c147eeeSPL set ID 60aad237-e1da-4705-cbbb-b3ca79e89ad8RxCUI 1115472, 1115473

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.

NDC on a medical claim

N400074366303 followed by a unit qualifier and the quantity

Package 00074-3663-03. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

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