NDC codes

FDA NDC Directory
Product NDC (as listed)50090-6571Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-6571Add 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
50090-6571-0500906571004 SYRINGE in 1 CARTON (50090-6571-0) / .5 mL in 1 SYRINGEMarketed from Aug 1, 2023

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 — 3 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 50090-6571_acaa63ae-a7bc-4997-9bfb-6292ff7bed52SPL ID acaa63ae-a7bc-4997-9bfb-6292ff7bed52SPL set ID 0a4716d0-9c9c-4bc3-a8f1-6784599aae89RxCUI 2395777, 2395779UNII 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.

How CPT relates to drug billing

NDC on a medical claim

N450090657100 followed by a unit qualifier and the quantity

Package 50090-6571-00. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

About NDC 50090-6571

What is NDC 50090-6571?
50090-6571 is the product NDC for Trulicity (dulaglutide), Dulaglutide 3 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.

Other finished products listed under the same name: strengths, forms and labelers.

Other Trulicity NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
TrulicitydulaglutideDulaglutide 3 mg/.5mLInjection, SolutionSubcutaneousEli Lilly and Company0002-223600002-2236-80
TrulicitydulaglutideDulaglutide 4.5 mg/.5mLInjection, SolutionSubcutaneousEli Lilly and Company0002-318200002-3182-80
TrulicitydulaglutideDulaglutide 3 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-546750090-5467-00
TrulicitydulaglutideDulaglutide 4.5 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-758950090-7589-00
TrulicitydulaglutideDulaglutide .75 mg/.5mLInjection, SolutionSubcutaneousEli Lilly and Company0002-143300002-1433-80
TrulicitydulaglutideDulaglutide 1.5 mg/.5mLInjection, SolutionSubcutaneousEli Lilly and Company0002-143400002-1434-80
TrulicitydulaglutideDulaglutide 1.5 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-348350090-3483-00
TrulicitydulaglutideDulaglutide .75 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-348450090-3484-00
TrulicitydulaglutideDulaglutide .75 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-645350090-6453-00
TrulicitydulaglutideDulaglutide 1.5 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-645650090-6456-00

Other NDCs under BLA 125469

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

FDA NDC Directory listings under BLA 125469
ProductStrengthForm · routeLabelerProduct NDC
TrulicitydulaglutideDulaglutide .75 mg/.5mLInjection, SolutionSubcutaneousEli Lilly and Company0002-1433
TrulicitydulaglutideDulaglutide 1.5 mg/.5mLInjection, SolutionSubcutaneousEli Lilly and Company0002-1434
TrulicitydulaglutideDulaglutide 3 mg/.5mLInjection, SolutionSubcutaneousEli Lilly and Company0002-2236
TrulicitydulaglutideDulaglutide 4.5 mg/.5mLInjection, SolutionSubcutaneousEli Lilly and Company0002-3182
TrulicitydulaglutideDulaglutide 1.5 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-3483
TrulicitydulaglutideDulaglutide .75 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-3484
TrulicitydulaglutideDulaglutide 3 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-5467
TrulicitydulaglutideDulaglutide .75 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-6453
TrulicitydulaglutideDulaglutide 1.5 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-6456
TrulicitydulaglutideDulaglutide 4.5 mg/.5mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-7589

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