NDC codes

FDA NDC Directory
Product NDC (as listed)62064-241Labeler and product segments. Claims need a package NDC.
Product NDC at billing width62064-0241Add 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
62064-241-30620640241301 KIT in 1 BOX (62064-241-30) * .5 mL in 1 VIAL * 30 BOTTLE in 1 TRAY / 10 mL in 1 BOTTLEMarketed from Nov 4, 2019

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)
Egrifta Sv
Generic name (nonproprietary)
tesamorelin
Dosage form
Kit
Route
Subcutaneous
Labeler
Theratechnologies Inc.NDC labeler code 62064
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 022505
Marketing start
Listing expires
Identifiers
Product ID 62064-241_7d9be20d-e0a5-47ab-997e-82ab2bd54cbaSPL ID 7d9be20d-e0a5-47ab-997e-82ab2bd54cbaSPL set ID 3d783378-b02d-4f19-99dd-0fc91a042224RxCUI 1044587, 1044591

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

N462064024130 followed by a unit qualifier and the quantity

Package 62064-0241-30. 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)

EGRIFTA SV is indicated for the reduction of excess abdominal fat in HIV-infected adult patients with lipodystrophy. Limitations of Use: Long-term cardiovascular safety of EGRIFTA SV has not been established. Consider risk/benefit of continuation of treatment in patients who have not had a reduction in visceral adipose tissue. EGRIFTA SV is not indicated for weight loss management as it has a weight neutral effect. There are no data to support improved compliance with anti-retroviral therapies in HIV-positive patients taking EGRIFTA SV. EGRIFTA SV is a growth hormone-releasing factor (GHRF) analog indicated for the reduction of excess abdominal fat in HIV-infected adult patients with lipodys…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 62064-241

What is NDC 62064-241?
62064-241 is the product NDC for Egrifta Sv (tesamorelin) kit, listed with the FDA by Theratechnologies Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Egrifta Sv (Tesamorelin).
Who is the labeler?
Theratechnologies Inc., NDC labeler code 62064. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Egrifta Sv?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under BLA 022505

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

FDA NDC Directory listings under BLA 022505
ProductStrengthForm · routeLabelerProduct NDC
Egrifta Wrtesamorelin—KitSubcutaneousTheratechnologies Inc.62064-381

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