NDC codes

FDA NDC Directory
Product NDC (as listed)50090-4487Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-4487Add 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
50090-4487-0500904487002 KIT in 1 CARTON (50090-4487-0) / 1 KIT in 1 KIT * 1 SYRINGE in 1 TRAY / .8 mL in 1 SYRINGE * 1 mL in 1 PACKETMarketed from Aug 29, 2019

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)
Humira
Generic name (nonproprietary)
adalimumab
Dosage form
Kit
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 125057
Marketing start
Listing expires
Identifiers
Product ID 50090-4487_9083dedd-bfe5-47f1-b940-72101f343d9dSPL ID 9083dedd-bfe5-47f1-b940-72101f343d9dSPL set ID a06a9aec-fd5b-4c3e-a81f-eb46bb384100RxCUI 797544, 1655726, 1655728

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.

NDC on a medical claim

N450090448700 followed by a unit qualifier and the quantity

Package 50090-4487-00. 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)

HUMIRA is a tumor necrosis factor (TNF) blocker indicated for: Rheumatoid Arthritis (RA) ( 1.1 ) : reducing signs and symptoms, inducing major clinical response, inhibiting the progression of structural damage, and improving physical function in adult patients with moderately to severely active RA. Juvenile Idiopathic Arthritis (JIA) ( 1.2 ) : reducing signs and symptoms of moderately to severely active polyarticular JIA in patients 2 years of age and older. Psoriatic Arthritis (PsA) ( 1.3 ) : reducing signs and symptoms, inhibiting the progression of structural damage, and improving physical function in adult patients with active PsA. Ankylosing Spondylitis (AS) ( 1.4 ) : reducing signs and…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-4487

What is NDC 50090-4487?
50090-4487 is the product NDC for Humira (adalimumab) kit, 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?
Humira (Adalimumab).
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 Humira?
14 other product NDCs are listed under this name. See all Humira 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 Humira NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Humiraadalimumab—KitCordavis Limited83457-12483457-0124-02
Humiraadalimumab—KitCordavis Limited83457-24383457-0243-02
Humiraadalimumab—KitCordavis Limited83457-55483457-0554-02
Humiraadalimumab—KitCordavis Limited83457-61683457-0616-02
Humiraadalimumab—KitCordavis Limited83457-81783457-0817-02
Humiraadalimumab—KitAbbVie Inc.0074-061600074-0616-0200074-0616-71
Humiraadalimumab—KitAbbVie Inc.0074-081700074-0817-02
Humiraadalimumab—KitAbbVie Inc.0074-012400074-0124-0100074-0124-0200074-0124-03+2 more
Humiraadalimumab—KitAbbVie Inc.0074-153900074-1539-03
Humiraadalimumab—KitAbbVie Inc.0074-254000074-2540-01

All 15 Humira NDCs

Other NDCs under BLA 125057

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

FDA NDC Directory listings under BLA 125057
ProductStrengthForm · routeLabelerProduct NDC
Humiraadalimumab—KitAbbVie Inc.0074-0124
Humiraadalimumab—KitAbbVie Inc.0074-0243
Humiraadalimumab—KitAbbVie Inc.0074-0554
Humiraadalimumab—KitAbbVie Inc.0074-0616
Humiraadalimumab—KitAbbVie Inc.0074-0817
Humiraadalimumab—KitAbbVie Inc.0074-1539
Humiraadalimumab—KitAbbVie Inc.0074-2540
Humiraadalimumab—KitAbbVie Inc.0074-3799
Humiraadalimumab—KitAbbVie Inc.0074-4339
Humiraadalimumab—KitCordavis Limited83457-124
Humiraadalimumab—KitCordavis Limited83457-243
Humiraadalimumab—KitCordavis Limited83457-554
Humiraadalimumab—KitCordavis Limited83457-616
Humiraadalimumab—KitCordavis Limited83457-817

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