NDC codes

FDA NDC Directory
Product NDC (as listed)25021-151Labeler and product segments. Claims need a package NDC.
Product NDC at billing width25021-0151Add 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
25021-151-202502101512010 VIAL in 1 CARTON (25021-151-20) / 20 mL in 1 VIALMarketed from Jul 15, 2023

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)
Vancomycin Hydrochloride
Generic name (nonproprietary)
vancomycin hydrochloride
Active ingredients
Vancomycin hydrochloride — 1 g/20mL
Dosage form
Injection, Powder, Lyophilized, For solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 205694
Marketing start
Listing expires
Other FDA classes
Glycopeptides (Chemical structure)
Identifiers
Product ID 25021-151_9421f884-7b57-4a9a-8389-a45a70dd4598SPL ID 9421f884-7b57-4a9a-8389-a45a70dd4598SPL set ID 4843726f-6e79-6e20-2620-4a54616e6479RxCUI 1807513, 1807516UNII 71WO621TJD
Pharmacologic class
Glycopeptide Antibacterial

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

N425021015120 followed by a unit qualifier and the quantity

Package 25021-0151-20. 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)

INDICATIONS AND USAGE Vancomycin Hydrochloride for Injection, USP is indicated for the treatment of serious or severe infections caused by susceptible strains of methicillin-resistant (β-lactam-resistant) staphylococci. It is indicated for penicillin-allergic patients, for patients who cannot receive or who have failed to respond to other drugs, including the penicillins or cephalosporins, and for infections caused by vancomycin-susceptible organisms that are resistant to other antimicrobial drugs. Vancomycin Hydrochloride for Injection, USP is indicated for initial therapy when methicillin-resistant staphylococci are suspected, but after susceptibility data are available, therapy should be …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 205694

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

FDA NDC Directory listings under ANDA 205694
ProductStrengthForm · routeLabelerProduct NDC
Vancomycin HydrochlorideVancomycin hydrochloride 500 mg/10mLInjection, Powder, Lyophilized, For solutionIntravenousGland Pharma Limited68083-143
Vancomycin HydrochlorideVancomycin hydrochloride 1 g/20mLInjection, Powder, Lyophilized, For solutionIntravenousGland Pharma Limited68083-144
Vancomycin HydrochlorideVancomycin hydrochloride 1 g/1Injection, Powder, Lyophilized, For solutionIntravenousXellia Pharmaceuticals USA LLC70594-123
Vancomycin HydrochlorideVancomycin hydrochloride 500 mg/1Injection, Powder, Lyophilized, For solutionIntravenousXellia Pharmaceuticals USA LLC70594-122
Vancomycin HydrochlorideVancomycin hydrochloride 10 g/100mLInjection, Powder, Lyophilized, For solutionIntravenousGland Pharma Limited68083-570
Vancomycin HydrochlorideVancomycin hydrochloride 5 g/100mLInjection, Powder, Lyophilized, For solutionIntravenousGland Pharma Limited68083-569
Vancomycin HydrochlorideVancomycin hydrochloride 500 mg/10mLInjection, Powder, Lyophilized, For solutionIntravenousSagent Pharmaceuticals25021-150
Vancomycin HydrochlorideVancomycin hydrochloride 1 g/20mLInjection, Powder, Lyophilized, For solutionIntravenousGLENMARK PHARMACEUTICALS INC., USA68462-956
Vancomycin HydrochlorideVancomycin hydrochloride 500 mg/10mLInjection, Powder, Lyophilized, For solutionIntravenousGLENMARK PHARMACEUTICALS INC., USA68462-955

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