NDC codes

FDA NDC Directory
Product NDC (as listed)49643-315Labeler and product segments. Claims need a package NDC.
Product NDC at billing width49643-0315Add 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
49643-315-05496430315055 mL in 1 VIAL, MULTI-DOSE (49643-315-05)Marketed from Mar 22, 1982
49643-315-104964303151010 mL in 1 VIAL, MULTI-DOSE (49643-315-10)Marketed from Mar 22, 1982
49643-315-304964303153030 mL in 1 VIAL, MULTI-DOSE (49643-315-30)Marketed from Mar 22, 1982
49643-315-504964303155050 mL in 1 VIAL, MULTI-DOSE (49643-315-50)Marketed from Mar 22, 1982

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)
Short Ragweed
Generic name (nonproprietary)
ambrosia artemisiifolia
Active ingredients
Ambrosia artemisiifolia pollen — 1 g/10mL
Dosage form
Injection
Route
Cutaneous, Intradermal, Subcutaneous
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 103113
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Pollen (Chemical structure)
Identifiers
Product ID 49643-315_2beeb52f-4452-7e67-e063-6294a90a5477SPL ID 2beeb52f-4452-7e67-e063-6294a90a5477SPL set ID 1482f8a2-c2c0-45a1-8e90-b427227f0b28RxCUI 896140UNII K20Y81ACO3
Pharmacologic class
Standardized Pollen Allergenic Extract

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

N449643031505 followed by a unit qualifier and the quantity

Package 49643-0315-05. 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 Studies have shown that properly performed an interpreted skin tests with ragweed pollen extract are useful in the diagnosis of allergy to ragweed pollen 7, 8, 20, 21 . Immunotherapy with the appropriate dosage of short ragweed pollen extract is effective in reducing symptoms of hay fever and asthma resulting from exposure to short ragweed pollen (9, 10, 11), and it is believed to be effective with extract of giant ragweed, although carefully controlled studies are unavailable. However, clinical observations and known cross reactivity between short and giant ragweed pollens have led to the practice of using a mixture of the two species for skin testing and treatment 22, 23, 24, 2…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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