NDC codes

FDA NDC Directory
Product NDC (as listed)10122-310Labeler and product segments. Claims need a package NDC.
Product NDC at billing width10122-0310Add 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
10122-310-02101220310021 TUBE in 1 CARTON (10122-310-02) / 23.4 g in 1 TUBE (10122-310-01)Marketed from Feb 22, 2024

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Filsuvez
Generic name (nonproprietary)
birch triterpenes
Active ingredients
Birch triterpenes — 100 mg/g
Dosage form
Gel
Route
Topical
Labeler
Chiesi USA, Inc.NDC labeler code 10122
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 215064
Marketing start
Listing expires
Identifiers
Product ID 10122-310_14e5440b-aa04-4c95-92f6-c7f1ed9f7252SPL ID 14e5440b-aa04-4c95-92f6-c7f1ed9f7252SPL set ID 32ba9194-734c-47d4-84e1-b21e28a85ec5RxCUI 2675587, 2675592UNII BX09B0RQR0

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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N410122031002 followed by a unit qualifier and the quantity

Package 10122-0310-02. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

FILSUVEZ is indicated for the treatment of wounds associated with dystrophic and junctional epidermolysis bullosa (EB) in adult and pediatric patients 6 months of age and older. FILSUVEZ topical gel is indicated for the treatment of wounds associated with dystrophic and junctional epidermolysis bullosa in adult and pediatric patients 6 months of age and older. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 10122-310

What is NDC 10122-310?
10122-310 is the product NDC for Filsuvez (birch triterpenes), Birch triterpenes 100 mg/g gel, listed with the FDA by Chiesi USA, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Filsuvez (Birch triterpenes).
What is the active ingredient?
Birch triterpenes.
Who is the labeler?
Chiesi USA, Inc., NDC labeler code 10122. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Filsuvez?
1 other product NDC are listed under this name. See all Filsuvez 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 Filsuvez NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Filsuvezbirch triterpenesBirch triterpenes 100 mg/gGelTopicalAmryt Pharmaceuticals DAC76431-31076431-0310-01

Other NDCs under NDA 215064

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

FDA NDC Directory listings under NDA 215064
ProductStrengthForm · routeLabelerProduct NDC
Filsuvezbirch triterpenesBirch triterpenes 100 mg/gGelTopicalAmryt Pharmaceuticals DAC76431-310

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