Tresiba (insulin degludec) NDC 0169-2550

NDC codes

FDA NDC Directory

Product NDC (as listed)0169-2550Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00169-2550Add 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 NDC	11-digit (billing)	Package	Copy
0169-2550-13	00169255013	3 SYRINGE, PLASTIC in 1 CARTON (0169-2550-13) / 3 mL in 1 SYRINGE, PLASTICMarketed from Sep 25, 2015
0169-2550-97	00169255097	1 SYRINGE, PLASTIC in 1 CARTON (0169-2550-97) / 3 mL in 1 SYRINGE, PLASTIC (0169-2550-90)Marketed from Sep 25, 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): Tresiba
Generic name (nonproprietary): insulin degludec
Active ingredients: Insulin degludec — 200 U/mL
Dosage form: Injection, Solution
Route: Subcutaneous
Labeler: Novo Nordisk
Product type: Prescription drug
Marketing category: BLA — Biologics License ApplicationApplication BLA 203314
Marketing start: Sep 25, 2015
Listing expires: Dec 31, 2026
Other FDA classes: Insulin (Chemical structure)
Identifiers: Product ID 0169-2550_e5571110-ca7e-4fcc-88a8-9f1d0104c508SPL ID e5571110-ca7e-4fcc-88a8-9f1d0104c508SPL set ID 456c5e87-3dfd-46fa-8ac0-c6128d4c97c6RxCUI 1670011, 1670016, 1670021, 1670023, 2107520, 2107522UNII 54Q18076QB
Pharmacologic class: Insulin Analog

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

N400169255013 followed by a unit qualifier and the quantity

Package 00169-2550-13. 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.