Prescription drug · NDA
Varithena (Polidocanol) NDC 60635-118
Kit · Boston Scientific Corporation
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 60635-118-01 | 60635011801 | 1 POUCH in 1 CARTON (60635-118-01) / 1 KIT in 1 POUCH * 18 mL in 1 CANISTER (60635-018-01) * 303 mL in 1 CANISTERMarketed from Jun 22, 2016 |
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)
- Varithena
- Generic name (nonproprietary)
- polidocanol
- Dosage form
- Kit
- Labeler
- Boston Scientific CorporationNDC labeler code 60635
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 205098
- Marketing start
- Listing expires
- Identifiers
- Product ID 60635-118_130d8efd-d543-4b07-b99b-a4c779085dd6SPL ID 130d8efd-d543-4b07-b99b-a4c779085dd6SPL set ID dfd6b4a0-b0dc-11e2-9e96-0800200c9a66RxCUI 1485068, 1485070
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
N460635011801followed by a unit qualifier and the quantityPackage 60635-0118-01. 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)
VARITHENA (polidocanol injectable foam) is indicated for the treatment of incompetent great saphenous veins, accessory saphenous veins, and visible varicosities of the great saphenous vein (GSV) system above and below the knee. VARITHENA improves the symptoms of superficial venous incompetence and the appearance of visible varicosities. VARITHENA (polidocanol injectable foam) is a sclerosing agent indicated for the treatment of incompetent great saphenous veins, accessory saphenous veins, and visible varicosities of the great saphenous vein (GSV) system above and below the knee. VARITHENA improves the symptoms of superficial venous incompetence and the appearance of visible varicosities. ( 1…
Excerpt only. Read the full label for complete information.
About NDC 60635-118
- What is NDC 60635-118?
- 60635-118 is the product NDC for Varithena (polidocanol) kit, listed with the FDA by Boston Scientific Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Varithena (Polidocanol).
- Who is the labeler?
- Boston Scientific Corporation, NDC labeler code 60635. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Varithena?
- 1 other product NDC are listed under this name. See all Varithena NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Varithena products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Varithenapolidocanol | — | Kit | Boston Scientific Corporation | 60635-133 | 60635-0133-01 |
Other NDCs under NDA 205098
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Varithenapolidocanol | — | Kit | Boston Scientific Corporation | 60635-133 |