NDC codes

FDA NDC Directory
Product NDC (as listed)65757-500Labeler and product segments. Claims need a package NDC.
Product NDC at billing width65757-0500Add 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
65757-500-0365757050003657570500031 SYRINGE in 1 CARTON (65757-500-03) / 2.4 mL in 1 SYRINGEMarketed from Jun 29, 2018
65757-500-0465757050004657570500041 SYRINGE in 1 CARTON (65757-500-04) / 2.4 mL in 1 SYRINGEMarketed from Jun 29, 2018 · Sample package

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)
Aristada Initio
Generic name (nonproprietary)
aripiprazole lauroxil
Active ingredients
Aripiprazole lauroxil — 675 mg/2.4mL
Dosage form
Injection, Suspension, Extended release
Route
Intramuscular
Labeler
Alkermes, Inc.NDC labeler code 65757
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 209830
Marketing start
Listing expires
Identifiers
Product ID 65757-500_cbde23b9-60d1-4ae1-b42d-1093610ba18dSPL ID cbde23b9-60d1-4ae1-b42d-1093610ba18dSPL set ID b18fdfd9-31cd-4a2f-9f1c-ebc70d7a9403RxCUI 2049341, 2049343UNII B786J7A343
Pharmacologic class
Atypical Antipsychotic

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

N465757050003 followed by a unit qualifier and the quantity

Package 65757-0500-03. 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)

ARISTADA INITIO, in combination with oral aripiprazole, is indicated for the initiation of ARISTADA when used for the treatment of schizophrenia in adults. ARISTADA INITIO, in combination with oral aripiprazole, is indicated for the initiation of ARISTADA ® when used for the treatment of schizophrenia in adults ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 65757-500

What is NDC 65757-500?
65757-500 is the product NDC for Aristada Initio (aripiprazole lauroxil), Aripiprazole lauroxil 675 mg/2.4mL injection, suspension, extended release, listed with the FDA by Alkermes, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Aristada Initio (Aripiprazole lauroxil).
What is the active ingredient?
Aripiprazole lauroxil.
Who is the labeler?
Alkermes, Inc., NDC labeler code 65757. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Aristada Initio?
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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