NDC codes

FDA NDC Directory
Product NDC (as listed)50090-1693Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-1693Add 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
50090-1693-950090169309500901693091 VIAL, MULTI-DOSE in 1 PACKAGE (50090-1693-9) / 5 mL in 1 VIAL, MULTI-DOSE (50090-1693-0)Marketed from Dec 21, 1990

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Ipol
Generic name (nonproprietary)
poliovirus type 1 antigen (formaldehyde inactivated), poliovirus type 2 antigen (formaldehyde inactivated), and poliovirus type 3 antigen (formaldehyde inactivated)
Dosage form
Injection, Suspension
Route
Intramuscular
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Vaccine
Marketing category
BLA — Biologics License ApplicationApplication BLA 103930
Marketing start
Listing expires
Other FDA classes
Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Poliovirus Vaccines (Chemical structure)Poliovirus Vaccines (Chemical structure)Poliovirus Vaccines (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)
Identifiers
Product ID 50090-1693_e37ce631-105e-4efa-8a0f-b2e107fb5252SPL ID e37ce631-105e-4efa-8a0f-b2e107fb5252
Pharmacologic class
Inactivated Poliovirus Vaccine

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

Immunization administration (CPT 90460–90474)

Giving a vaccine is reported separately from the vaccine product code, with an immunization administration code. Which code applies depends on the patient's age, the route and whether counselling was provided.

How CPT relates to drug billing

NDC on a medical claim

N450090169309 followed by a unit qualifier and the quantity

Package 50090-1693-09. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 50090-1693

What is NDC 50090-1693?
50090-1693 is the product NDC for Ipol, Poliovirus type 1 antigen (Formaldehyde inactivated) 40 [D'ag'U]/.5mL + 2 more ingredients injection, suspension, listed with the FDA by A-S Medication Solutions. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Ipol (POLIOVIRUS TYPE 1 ANTIGEN (FORMALDEHYDE INACTIVATED), POLIOVIRUS TYPE 2 ANTIGEN (FORMALDEHYDE INACTIVATED), and POLIOVIRUS TYPE 3 ANTIGEN (FORMALDEHYDE INACTIVATED)).
What is the active ingredient?
Poliovirus type 1 antigen (Formaldehyde inactivated), Poliovirus type 2 antigen (Formaldehyde inactivated), Poliovirus type 3 antigen (Formaldehyde inactivated).
Who is the labeler?
A-S Medication Solutions, NDC labeler code 50090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Ipol?
1 other product NDC are listed under this name. See all Ipol 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 Ipol NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Ipolpoliovirus type 1 antigen (formaldehyde inactivated), poliovirus type 2 antigen (formaldehyde inactivated), and poliovirus type 3 antigen (formaldehyde inactivated)Poliovirus type 1 antigen (Formaldehyde inactivated) 40 [D'ag'U]/.5mL + 2 more ingredientsInjection, SuspensionIntramuscularSanofi Vaccines US Inc.49281-86049281-0860-10

Other NDCs under BLA 103930

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

FDA NDC Directory listings under BLA 103930
ProductStrengthForm · routeLabelerProduct NDC
Ipolpoliovirus type 1 antigen (formaldehyde inactivated), poliovirus type 2 antigen (formaldehyde inactivated), and poliovirus type 3 antigen (formaldehyde inactivated)Poliovirus type 1 antigen (Formaldehyde inactivated) 40 [D'ag'U]/.5mL + 2 more ingredientsInjection, SuspensionIntramuscularSanofi Vaccines US Inc.49281-860

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