Zydelig (idelalisib) NDC 61958-1702

NDC codes

FDA NDC Directory

Product NDC (as listed)61958-1702Labeler and product segments. Claims need a package NDC.

Product NDC at billing width61958-1702Add 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 NDC	11-digit (billing)	Package	Copy
61958-1702-1	61958170201	60 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (61958-1702-1)Marketed from Jul 23, 2014

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): Zydelig
Generic name (nonproprietary): idelalisib
Active ingredients: Idelalisib — 150 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Gilead Sciences, Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 205858
Marketing start: Jul 23, 2014
Marketing end: Feb 29, 2028
Other FDA classes: Cytochrome P450 3A Inhibitors (Mechanism)Kinase Inhibitors (Mechanism)
Identifiers: Product ID 61958-1702_131deed3-54eb-44c8-aab5-5e93c70db69fSPL ID 131deed3-54eb-44c8-aab5-5e93c70db69f
Pharmacologic class: Kinase 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

N461958170201 followed by a unit qualifier and the quantity

Package 61958-1702-01. 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.

Other NDCs under NDA 205858

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

FDA NDC Directory listings under NDA 205858
Product	Strength	Form · route	Labeler	Product NDC
Zydeligidelalisib	Idelalisib 100 mg/1	Tablet, Film coatedOral	Gilead Sciences, Inc.	61958-1701