NDC codes

FDA NDC Directory
Product NDC (as listed)49471-001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width49471-0001Add 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
49471-001-05494710001055 AMPULE in 1 CARTON (49471-001-05) / .25 mL in 1 AMPULEMarketed from Jul 25, 1974

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)
Pre-Pen
Generic name (nonproprietary)
benzylpenicilloyl polylysine
Active ingredients
Benzylpenicilloyl polylysine — 60 umol/.25mL
Dosage form
Injection
Route
Intradermal, Subcutaneous
Labeler
ALK-ABELLO, INC.NDC labeler code 49471
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 050114
Marketing start
Listing expires
Identifiers
Product ID 49471-001_630c84ab-994f-4686-99bc-deaf6db7cff2SPL ID 630c84ab-994f-4686-99bc-deaf6db7cff2SPL set ID 2fbcc40c-f102-4abe-bce5-a93de95874feUNII 76479814OY

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

N449471000105 followed by a unit qualifier and the quantity

Package 49471-0001-05. 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: PRE-PEN is indicated for the assessment of sensitization to penicillin (benzylpenicillin or penicillin G) in patients suspected to have clinical penicillin hypersensitivity. A negative skin test to PRE-PEN is associated with an incidence of immediate allergic reactions of less than 5% after the administration of therapeutic penicillin, whereas the incidence may be more than 50% in a history-positive patient with a positive skin test to PRE-PEN. These allergic reactions are predominantly dermatologic. Whether a negative skin test to PRE-PEN predicts a lower risk of anaphylaxis is not established. Similarly, when deciding the risk of proposed penicillin treatment, there …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 49471-001

What is NDC 49471-001?
49471-001 is the product NDC for Pre-Pen (benzylpenicilloyl polylysine), Benzylpenicilloyl polylysine 60 umol/.25mL injection, listed with the FDA by ALK-ABELLO, INC.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pre-Pen (Benzylpenicilloyl polylysine).
What is the active ingredient?
Benzylpenicilloyl polylysine.
Who is the labeler?
ALK-ABELLO, INC., NDC labeler code 49471. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pre-Pen?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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