NDC codes

FDA NDC Directory
Product NDC (as listed)72187-0401Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72187-0401Add 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
72187-0401-1721870401011 VIAL, SINGLE-DOSE in 1 CARTON (72187-0401-1) / 1 mL in 1 VIAL, SINGLE-DOSEMarketed from Jan 18, 2019

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)
Elzonris
Generic name (nonproprietary)
tagraxofusp
Active ingredients
Tagraxofusp — 1000 ug/mL
Dosage form
Injection, Solution
Route
Intravenous
Labeler
Stemline Therapeutics, Inc.NDC labeler code 72187
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 761116
Marketing start
Listing expires
Other FDA classes
CD123 Interactions (Mechanism)Cytotoxins (Chemical structure)
Identifiers
Product ID 72187-0401_f219a6c1-2e94-40a7-8b66-28520f7bb7f7SPL ID f219a6c1-2e94-40a7-8b66-28520f7bb7f7SPL set ID 80eb1080-fe20-4af0-b2a5-a67999923fa8RxCUI 2109059, 2109064UNII 8ZHS5657EHUPC 0372187040118
Pharmacologic class
CD123 Interaction; Cytotoxin

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

N472187040101 followed by a unit qualifier and the quantity

Package 72187-0401-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

ELZONRIS is indicated for the treatment of blastic plasmacytoid dendritic cell neoplasm (BPDCN) in adults and in pediatric patients 2 years and older. ELZONRIS is a CD123-directed cytotoxin indicated for the treatment of blastic plasmacytoid dendritic cell neoplasm (BPDCN) in adults and in pediatric patients 2 years and older ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72187-0401

What is NDC 72187-0401?
72187-0401 is the product NDC for Elzonris (tagraxofusp), Tagraxofusp 1000 ug/mL injection, solution, listed with the FDA by Stemline Therapeutics, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Elzonris (Tagraxofusp).
What is the active ingredient?
Tagraxofusp.
Who is the labeler?
Stemline Therapeutics, Inc., NDC labeler code 72187. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Elzonris?
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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