NDC codes

FDA NDC Directory
Product NDC (as listed)55154-9618Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55154-9618Add 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
55154-9618-05515496180010 BLISTER PACK in 1 BAG (55154-9618-0) / 1 TABLET in 1 BLISTER PACKMarketed from Aug 5, 2011
55154-9618-8551549618081440 TABLET in 1 BOTTLE, PLASTIC (55154-9618-8)Marketed from Aug 5, 2011

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)
Brilinta
Generic name (nonproprietary)
ticagrelor
Active ingredients
Ticagrelor — 90 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Cardinal Health 107, LLCNDC labeler code 55154
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022433
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 3A4 Inhibitors (Mechanism)Decreased Platelet Aggregation (Physiologic effect)P-Glycoprotein Inhibitors (Mechanism)P2Y12 Receptor Antagonists (Mechanism)
Identifiers
Product ID 55154-9618_81bf7599-8e7c-4e30-a7aa-63ea3040daefSPL ID 81bf7599-8e7c-4e30-a7aa-63ea3040daefSPL set ID 4f9bd52a-99a7-4606-92b4-456a917aabefRxCUI 1116635, 1116639UNII GLH0314RVCUPC 0355154961883
Pharmacologic class
P2Y12 Platelet Inhibitor

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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N455154961800 followed by a unit qualifier and the quantity

Package 55154-9618-00. 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)

BRILINTA is a P2Y 12 platelet inhibitor indicated • to reduce the risk of cardiovascular (CV) death, myocardial infarction (MI), and stroke in patients with acute coronary syndrome (ACS) or a history of MI. For at least the first 12 months following ACS, it is superior to clopidogrel. BRILINTA also reduces the risk of stent thrombosis in patients who have been stented for treatment of ACS. (1.1) • to reduce the risk of a first MI or stroke in patients with coronary artery disease (CAD) at high risk for such events. While use is not limited to this setting, the efficacy of BRILINTA was established in a population with type 2 diabetes mellitus (T2DM). (1.2) • to reduce the risk of stroke in pa…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 55154-9618

What is NDC 55154-9618?
55154-9618 is the product NDC for Brilinta (ticagrelor), Ticagrelor 90 mg/1 tablet, listed with the FDA by Cardinal Health 107, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Brilinta (Ticagrelor).
What is the active ingredient?
Ticagrelor.
Who is the labeler?
Cardinal Health 107, LLC, NDC labeler code 55154. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Brilinta?
3 other product NDCs are listed under this name. See all Brilinta 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 Brilinta NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
BrilintaticagrelorTicagrelor 60 mg/1TabletOralAstraZeneca Pharmaceuticals LP0186-077600186-0776-60
BrilintaticagrelorTicagrelor 90 mg/1TabletOralAstraZeneca Pharmaceuticals LP0186-077700186-0777-3900186-0777-60
BrilintaticagrelorTicagrelor 90 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-81571610-0815-41

Other NDCs under NDA 022433

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

FDA NDC Directory listings under NDA 022433
ProductStrengthForm · routeLabelerProduct NDC
BrilintaticagrelorTicagrelor 60 mg/1TabletOralAstraZeneca Pharmaceuticals LP0186-0776
BrilintaticagrelorTicagrelor 90 mg/1TabletOralAstraZeneca Pharmaceuticals LP0186-0777
BrilintaticagrelorTicagrelor 90 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-815

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