NDC codes

FDA NDC Directory
Product NDC (as listed)50242-933Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50242-0933Add 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
50242-933-01502420933011 VIAL, SINGLE-DOSE in 1 BOX (50242-933-01) / 15 mL in 1 VIAL, SINGLE-DOSEMarketed from Sep 12, 2024
50242-933-86502420933861 VIAL, SINGLE-DOSE in 1 BOX (50242-933-86) / 15 mL in 1 VIAL, SINGLE-DOSEMarketed from Sep 12, 2024 · 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)
Tecentriq Hybreza
Generic name (nonproprietary)
atezolizumab and hyaluronidase-tqjs
Active ingredients
Atezolizumab — 1875 mg/15mLHyaluronidase (Human recombinant) — 30000 U/15mL
Dosage form
Injection
Route
Subcutaneous
Labeler
Genentech, Inc.NDC labeler code 50242
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 761347
Marketing start
Listing expires
Other FDA classes
Antibodies (Chemical structure)Monoclonal (Chemical structure)Humanized (Chemical structure)Glycoside Hydrolases (Chemical structure)Programmed Death Receptor-1-directed Antibody Interactions (Mechanism)
Identifiers
Product ID 50242-933_391adb08-e25a-4e3f-a14c-f52e03b73fe8SPL ID 391adb08-e25a-4e3f-a14c-f52e03b73fe8
Pharmacologic class
Endoglycosidase; Programmed Death Receptor-1 Blocking Antibody

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

N450242093301 followed by a unit qualifier and the quantity

Package 50242-0933-01. 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

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

About NDC 50242-933

What is NDC 50242-933?
50242-933 is the product NDC for Tecentriq Hybreza, Atezolizumab 1875 mg/15mL; Hyaluronidase (Human recombinant) 30000 U/15mL injection, listed with the FDA by Genentech, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Tecentriq Hybreza (Atezolizumab and hyaluronidase-tqjs).
What is the active ingredient?
Atezolizumab, Hyaluronidase (Human recombinant).
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 Tecentriq Hybreza?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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