NDC codes

FDA NDC Directory
Product NDC (as listed)63713-050Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63713-0050Add 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
63713-050-24637130050242 POUCH in 1 CARTON (63713-050-24) / 1 TRAY in 1 POUCH (63713-050-25) / 52 cm2 in 1 TRAYMarketed from Mar 1, 2013

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)
Evarrest
Generic name (nonproprietary)
fibrinogen human and human thrombin
Active ingredients
Fibrinogen human — 8.6 mg/cm2Human thrombin — 37.5 [iU]/cm2
Dosage form
Patch
Route
Topical
Labeler
Ethicon, Inc.NDC labeler code 63713
Product type
Plasma derivative
Marketing category
BLA — Biologics License ApplicationApplication BLA 125392
Marketing start
Listing expires
Other FDA classes
Blood Coagulation Factors (Chemical structure)Blood Coagulation Factors (Chemical structure)Increased Coagulation Activity (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)
Identifiers
Product ID 63713-050_2dcbcc7a-19d2-db46-e063-6394a90a6b9bSPL ID 2dcbcc7a-19d2-db46-e063-6394a90a6b9b
Pharmacologic class
Human Blood Coagulation Factor

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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N463713005024 followed by a unit qualifier and the quantity

Package 63713-0050-24. 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 63713-050

What is NDC 63713-050?
63713-050 is the product NDC for Evarrest, Fibrinogen human 8.6 mg/cm2; Human thrombin 37.5 [iU]/cm2 patch, listed with the FDA by Ethicon, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Evarrest (Fibrinogen Human and Human Thrombin).
What is the active ingredient?
Fibrinogen human, Human thrombin.
Who is the labeler?
Ethicon, Inc., NDC labeler code 63713. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Evarrest?
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.

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