NDC codes

FDA NDC Directory
Product NDC (as listed)59137-515Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59137-0515Add 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
59137-515-01591370515011 PACKAGE in 1 CARTON (59137-515-01) / .25 mL in 1 PACKAGE (59137-515-00)Marketed from Jul 10, 2014
59137-515-04591370515044 PACKAGE in 1 CARTON (59137-515-04) / .25 mL in 1 PACKAGE (59137-515-00)Marketed from Jul 10, 2014

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)
Rasuvo
Generic name (nonproprietary)
methotrexate
Active ingredients
Methotrexate sodium — 12.5 mg/.25mL
Dosage form
Injection, Solution
Route
Subcutaneous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 205776
Marketing start
Listing expires
Other FDA classes
Folic Acid Metabolism Inhibitors (Mechanism)
Identifiers
Product ID 59137-515_29d04017-dd64-4dea-a064-7b3b0805f423SPL ID 29d04017-dd64-4dea-a064-7b3b0805f423SPL set ID d0075461-0e7e-4967-9c9b-d6440e912c0eRxCUI 1441416, 1544378, 1544383, 1544385, 1544386, 1544387, 1544388, 1544389, 1544390, 1544394, 1544395, 1544396, 1544397, 1544398, 1544401, 1544402, 1544403, 1544404UNII 3IG1E710ZN
Pharmacologic class
Folate Analog Metabolic 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 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

N459137051501 followed by a unit qualifier and the quantity

Package 59137-0515-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Rasuvo is a folate analog metabolic inhibitor indicated for the: Management of patients with severe, active rheumatoid arthritis (RA) and polyarticular juvenile idiopathic arthritis (pJIA), who are intolerant of or had an inadequate response to first-line therapy ( 1.1 ) Symptomatic control of severe, recalcitrant, disabling psoriasis in adults who are not adequately responsive to other forms of therapy ( 1.2 ) Limitation of Use Rasuvo is not indicated for the treatment of neoplastic diseases ( 1.3 ). 1.1 Rheumatoid Arthritis including Polyarticular Juvenile Idiopathic Arthritis Rasuvo is indicated in the management of selected adults with severe, active rheumatoid arthritis (RA) (ACR criter…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 205776

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

FDA NDC Directory listings under NDA 205776
ProductStrengthForm · routeLabelerProduct NDC
RasuvomethotrexateMethotrexate sodium 7.5 mg/.15mLInjection, SolutionSubcutaneousMedexus Pharma Inc.59137-505
RasuvomethotrexateMethotrexate sodium 10 mg/.2mLInjection, SolutionSubcutaneousMedexus Pharma Inc.59137-510
RasuvomethotrexateMethotrexate sodium 20 mg/.4mLInjection, SolutionSubcutaneousMedexus Pharma Inc.59137-530
RasuvomethotrexateMethotrexate sodium 15 mg/.3mLInjection, SolutionSubcutaneousMedexus Pharma Inc.59137-520
RasuvomethotrexateMethotrexate sodium 17.5 mg/.35mLInjection, SolutionSubcutaneousMedexus Pharma Inc.59137-525
RasuvomethotrexateMethotrexate sodium 22.5 mg/.45mLInjection, SolutionSubcutaneousMedexus Pharma Inc.59137-535
RasuvomethotrexateMethotrexate sodium 25 mg/.5mLInjection, SolutionSubcutaneousMedexus Pharma Inc.59137-540
RasuvomethotrexateMethotrexate sodium 30 mg/.6mLInjection, SolutionSubcutaneousMedexus Pharma Inc.59137-550

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Rasuvo (methotrexate) NDC 59137-515 | Med-Code