NDC codes

FDA NDC Directory
Product NDC (as listed)71777-390Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71777-0390Add 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
71777-390-01717770390017177703900160 CAPSULE in 1 BOTTLE (71777-390-01)Marketed from Nov 26, 2018

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)
Vitrakvi
Generic name (nonproprietary)
larotrectinib
Active ingredients
Larotrectinib — 25 mg/1
Dosage form
Capsule
Route
Oral
Labeler
Loxo Oncology, Inc.NDC labeler code 71777
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 210861
Marketing start
Listing expires
Other FDA classes
Tropomyosin Receptor Kinases Inhibitors (Mechanism)
Identifiers
Product ID 71777-390_5b9e7961-f843-49d8-94b5-a2ce2c9efa46SPL ID 5b9e7961-f843-49d8-94b5-a2ce2c9efa46SPL set ID 9525f887-a055-4e33-8e92-898d42828cd1RxCUI 2105633, 2105645, 2105649, 2105653, 2105655, 2105657UNII PF9462I9HX
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

N471777039001 followed by a unit qualifier and the quantity

Package 71777-0390-01. 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)

VITRAKVI is indicated for the treatment of adult and pediatric patients with solid tumors that: • have a neurotrophic receptor tyrosine kinase ( NTRK ) gene fusion without a known acquired resistance mutation, • are metastatic or where surgical resection is likely to result in severe morbidity, and • have no satisfactory alternative treatments or that have progressed following treatment. This indication is approved under accelerated approval based on overall response rate and duration of response [see Clinical Studies ( 14 )] . Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials. VITRAKVI is a kinase inhibitor …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71777-390

What is NDC 71777-390?
71777-390 is the product NDC for Vitrakvi (larotrectinib), Larotrectinib 25 mg/1 capsule, listed with the FDA by Loxo Oncology, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Vitrakvi (Larotrectinib).
What is the active ingredient?
Larotrectinib.
Who is the labeler?
Loxo Oncology, Inc., NDC labeler code 71777. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Vitrakvi?
6 other product NDCs are listed under this name. See all Vitrakvi NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Vitrakvi NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
VitrakvilarotrectinibLarotrectinib 20 mg/mLSolution, ConcentrateOropharyngealBayer HealthCare Pharmaceuticals Inc.50419-39350419-0393-03
VitrakvilarotrectinibLarotrectinib 25 mg/1CapsuleOralBayer HealthCare Pharmaceuticals Inc.50419-39050419-0390-01
VitrakvilarotrectinibLarotrectinib 100 mg/1CapsuleOralBayer HealthCare Pharmaceuticals Inc.50419-39150419-0391-01
VitrakvilarotrectinibLarotrectinib 20 mg/mLSolution, ConcentrateOropharyngealBayer HealthCare Pharmaceuticals Inc.50419-39250419-0392-01
VitrakvilarotrectinibLarotrectinib 100 mg/1CapsuleOralLoxo Oncology, Inc.71777-39171777-0391-01
VitrakvilarotrectinibLarotrectinib 20 mg/mLSolutionOralLoxo Oncology, Inc.71777-39271777-0392-01

Other NDCs under NDA 210861

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

FDA NDC Directory listings under NDA 210861
ProductStrengthForm · routeLabelerProduct NDC
VitrakvilarotrectinibLarotrectinib 25 mg/1CapsuleOralBayer HealthCare Pharmaceuticals Inc.50419-390
VitrakvilarotrectinibLarotrectinib 100 mg/1CapsuleOralBayer HealthCare Pharmaceuticals Inc.50419-391
VitrakvilarotrectinibLarotrectinib 100 mg/1CapsuleOralLoxo Oncology, Inc.71777-391

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