NDC codes

FDA NDC Directory
Product NDC (as listed)55150-311Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55150-0311Add 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
55150-311-01551500311011 VIAL in 1 CARTON (55150-311-01) / 5 mL in 1 VIALMarketed from May 9, 2019
55150-311-05551500311055 VIAL in 1 CARTON (55150-311-05) / 5 mL in 1 VIALMarketed from May 9, 2019

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)
Hydroxyprogesterone Caproate
Generic name (nonproprietary)
hydroxyprogesterone caproate
Active ingredients
Hydroxyprogesterone caproate — 1250 mg/5mL
Dosage form
Injection
Route
Intramuscular
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211142
Marketing start
Listing expires
Other FDA classes
Progesterone Congeners (Chemical structure)
Identifiers
Product ID 55150-311_d40b4000-5dae-43fb-8a3b-0dd73e43a806SPL ID d40b4000-5dae-43fb-8a3b-0dd73e43a806SPL set ID 687bcf42-f437-42c7-8909-a91f621f55dfRxCUI 1087964UNII 276F2O42F5
Pharmacologic class
Progestin

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

N455150031101 followed by a unit qualifier and the quantity

Package 55150-0311-01. 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)

INDICATIONS AND USAGE Hydroxyprogesterone Caproate Injection, USP is indicated in non-pregnant women: for the treatment of advanced adenocarcinoma of the uterine corpus (Stage III or IV); in the management of amenorrhea (primary and secondary) and abnormal uterine bleeding due to hormonal imbalance in the absence of organic pathology, such as submucous fibroids or uterine cancer; as a test for endogenous estrogen production and for the production of secretory endometrium and desquamation.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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