Prescription drug · BLA
Vabysmo (Faricimab) NDC 50242-096
Faricimab 6 mg/.05mL · Injection, Solution · Intravitreal · Genentech, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 50242-096-01 | 50242009601 | 1 VIAL in 1 CARTON (50242-096-01) / .05 mL in 1 VIAL (50242-096-03)Marketed from Jan 28, 2022 | |
| 50242-096-06 | 50242009606 | 1 SYRINGE in 1 CARTON (50242-096-06) / .05 mL in 1 SYRINGEMarketed from Jul 3, 2024 | |
| 50242-096-45 | 50242009645 | 1 SYRINGE in 1 CARTON (50242-096-45) / .05 mL in 1 SYRINGEMarketed from Jul 3, 2024 · Sample package | |
| 50242-096-86 | 50242009686 | 1 VIAL in 1 CARTON (50242-096-86) / .05 mL in 1 VIAL (50242-096-77)Marketed from Jan 28, 2022 · Sample package |
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)
- Vabysmo
- Generic name (nonproprietary)
- faricimab
- Active ingredients
- Faricimab — 6 mg/.05mL
- Dosage form
- Injection, Solution
- Route
- Intravitreal
- Labeler
- Genentech, Inc.NDC labeler code 50242
- Product type
- Prescription drug
- Marketing category
- BLA — Biologics License ApplicationApplication BLA 761235
- Marketing start
- Listing expires
- Identifiers
- Product ID 50242-096_d03c8813-cfdd-498f-9085-44e3d8436620SPL ID d03c8813-cfdd-498f-9085-44e3d8436620SPL set ID 04cc9ef7-c02a-4e92-a655-0062674e8487RxCUI 2591588, 2591594, 2692684, 2692688UNII QC4F7FKK7I
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 codeMed-Code curated
J2777 — Injection, faricimab-svoa, 0.1 mg
Billing unit: 0.1 mg. Units on the claim = dose given ÷ 0.1 mg.
- Administration
Intravitreal injection procedure (CPT 67028)
The intravitreal injection is reported as a separate procedure from the drug supplied.
- NDC on a medical claim
N450242009601followed by a unit qualifier and the quantityPackage 50242-0096-01. 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)
VABYSMO is a vascular endothelial growth factor (VEGF) and angiopoietin 2 (Ang-2) inhibitor indicated for the treatment of patients with: VABYSMO is a vascular endothelial growth factor (VEGF) and angiopoietin-2 (Ang-2) inhibitor indicated for the treatment of patients with: Neovascular (Wet) Age-Related Macular Degeneration (nAMD) ( 1.1 ) Diabetic Macular Edema (DME) ( 1.2 ) Macular Edema Following Retinal Vein Occlusion (RVO) ( 1.3 ) 1.1 Neovascular (wet) Age-Related Macular Degeneration (nAMD) 1.2 Diabetic Macular Edema (DME) 1.3 Macular Edema Following Retinal Vein Occlusion (RVO)
Excerpt only. Read the full label for complete information.
About NDC 50242-096
- What is NDC 50242-096?
- 50242-096 is the product NDC for Vabysmo (faricimab), Faricimab 6 mg/.05mL injection, solution, listed with the FDA by Genentech, Inc.. It has 4 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Vabysmo (Faricimab).
- What is the active ingredient?
- Faricimab.
- Who is the labeler?
- Genentech, Inc., NDC labeler code 50242. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Vabysmo?
- None: this is the only finished product listed under this name.
- Is there a related HCPCS / J-code?
- Yes: J2777, Injection, faricimab-svoa, 0.1 mg. See Billing references above.