NDC codes

FDA NDC Directory
Product NDC (as listed)58394-014Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58394-0014Add 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
58394-014-01583940014011 KIT in 1 CARTON (58394-014-01) * 4 mL in 1 SYRINGE (58394-018-01) * 1 mL in 1 PACKET * 4 mL in 1 VIAL, SINGLE-USE (58394-114-01)Marketed from Aug 1, 2008

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)
Xyntha
Generic name (nonproprietary)
antihemophilic factor (recombinant)
Dosage form
Kit
Product type
Plasma derivative
Marketing category
BLA — Biologics License ApplicationApplication BLA 125264
Marketing start
Listing expires
Identifiers
Product ID 58394-014_5f2d1c61-a588-484c-b240-3bf0e6120713SPL ID 5f2d1c61-a588-484c-b240-3bf0e6120713

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.

NDC on a medical claim

N458394001401 followed by a unit qualifier and the quantity

Package 58394-0014-01. 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 58394-014

What is NDC 58394-014?
58394-014 is the product NDC for Xyntha (antihemophilic factor (recombinant)) kit, listed with the FDA by Wyeth BioPharma Division of Wyeth Pharmaceuticals LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Xyntha (Antihemophilic factor (recombinant)).
Who is the labeler?
Wyeth BioPharma Division of Wyeth Pharmaceuticals LLC, NDC labeler code 58394. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Xyntha?
8 other product NDCs are listed under this name. See all Xyntha 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 Xyntha NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-02258394-0022-03
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-02358394-0023-03
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-02458394-0024-03
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-02558394-0025-03
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-01658394-0016-03
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-01258394-0012-01
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-01358394-0013-01
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-01558394-0015-01

Other NDCs under BLA 125264

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

FDA NDC Directory listings under BLA 125264
ProductStrengthForm · routeLabelerProduct NDC
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-012
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-013
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-023
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-015
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-016
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-022
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-024
Xynthaantihemophilic factor (recombinant)—KitWyeth BioPharma Division of Wyeth Pharmaceuticals LLC58394-025

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