Prescription drug · BLA
Trulicity (Dulaglutide) NDC 50090-3484
Dulaglutide .75 mg/.5mL · Injection, Solution · Subcutaneous · A-S Medication Solutions
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 50090-3484-0 | 50090348400 | 4 SYRINGE in 1 CARTON (50090-3484-0) / .5 mL in 1 SYRINGEMarketed from Jun 18, 2018 |
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)
- Trulicity
- Generic name (nonproprietary)
- dulaglutide
- Active ingredients
- Dulaglutide — .75 mg/.5mL
- Dosage form
- Injection, Solution
- Route
- Subcutaneous
- Labeler
- A-S Medication SolutionsNDC labeler code 50090
- Product type
- Prescription drug
- Marketing category
- BLA — Biologics License ApplicationApplication BLA 125469
- Marketing start
- Listing expires
- Other FDA classes
- Glucagon-Like Peptide 1 (Chemical structure)Glucagon-like Peptide-1 (GLP-1) Agonists (Mechanism)
- Identifiers
- Product ID 50090-3484_5e0d492a-0ed5-4901-9721-2024bd697996SPL ID 5e0d492a-0ed5-4901-9721-2024bd697996SPL set ID 58353438-3236-4596-9324-62fed9615cb7RxCUI 1551295, 1551300, 1551304, 1551306UNII WTT295HSY5
- Pharmacologic class
- GLP-1 Receptor Agonist
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.
- NDC on a medical claim
N450090348400followed by a unit qualifier and the quantityPackage 50090-3484-00. 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 . This label includes a boxed warning.
Indications (excerpt from the label)
TRULICITY ® is indicated: As an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients 10 years of age and older with type 2 diabetes mellitus. To reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke) in adults with type 2 diabetes mellitus who have established cardiovascular disease or multiple cardiovascular risk factors. TRULICITY ® is a glucagon-like peptide-1 (GLP-1) receptor agonist indicated ( 1 ): As an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients 10 years of age and older with type 2 diabetes mellitus. To reduce the risk of maj…
Excerpt only. Read the full label for complete information.
About NDC 50090-3484
- What is NDC 50090-3484?
- 50090-3484 is the product NDC for Trulicity (dulaglutide), Dulaglutide .75 mg/.5mL injection, solution, 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?
- Trulicity (Dulaglutide).
- What is the active ingredient?
- Dulaglutide.
- 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 Trulicity?
- 10 other product NDCs are listed under this name. See all Trulicity NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Trulicity products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Trulicitydulaglutide | Dulaglutide 3 mg/.5mL | Injection, SolutionSubcutaneous | Eli Lilly and Company | 0002-2236 | 00002-2236-80 |
| Trulicitydulaglutide | Dulaglutide 4.5 mg/.5mL | Injection, SolutionSubcutaneous | Eli Lilly and Company | 0002-3182 | 00002-3182-80 |
| Trulicitydulaglutide | Dulaglutide 3 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-5467 | 50090-5467-00 |
| Trulicitydulaglutide | Dulaglutide 3 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-6571 | 50090-6571-00 |
| Trulicitydulaglutide | Dulaglutide 4.5 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-7589 | 50090-7589-00 |
| Trulicitydulaglutide | Dulaglutide .75 mg/.5mL | Injection, SolutionSubcutaneous | Eli Lilly and Company | 0002-1433 | 00002-1433-80 |
| Trulicitydulaglutide | Dulaglutide 1.5 mg/.5mL | Injection, SolutionSubcutaneous | Eli Lilly and Company | 0002-1434 | 00002-1434-80 |
| Trulicitydulaglutide | Dulaglutide 1.5 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-3483 | 50090-3483-00 |
| Trulicitydulaglutide | Dulaglutide .75 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-6453 | 50090-6453-00 |
| Trulicitydulaglutide | Dulaglutide 1.5 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-6456 | 50090-6456-00 |
Other NDCs under BLA 125469
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Trulicitydulaglutide | Dulaglutide .75 mg/.5mL | Injection, SolutionSubcutaneous | Eli Lilly and Company | 0002-1433 |
| Trulicitydulaglutide | Dulaglutide 1.5 mg/.5mL | Injection, SolutionSubcutaneous | Eli Lilly and Company | 0002-1434 |
| Trulicitydulaglutide | Dulaglutide 3 mg/.5mL | Injection, SolutionSubcutaneous | Eli Lilly and Company | 0002-2236 |
| Trulicitydulaglutide | Dulaglutide 4.5 mg/.5mL | Injection, SolutionSubcutaneous | Eli Lilly and Company | 0002-3182 |
| Trulicitydulaglutide | Dulaglutide 1.5 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-3483 |
| Trulicitydulaglutide | Dulaglutide 3 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-5467 |
| Trulicitydulaglutide | Dulaglutide .75 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-6453 |
| Trulicitydulaglutide | Dulaglutide 1.5 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-6456 |
| Trulicitydulaglutide | Dulaglutide 3 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-6571 |
| Trulicitydulaglutide | Dulaglutide 4.5 mg/.5mL | Injection, SolutionSubcutaneous | A-S Medication Solutions | 50090-7589 |