NDC codes

FDA NDC Directory
Product NDC (as listed)73650-316Labeler and product segments. Claims need a package NDC.
Product NDC at billing width73650-0316Add 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
73650-316-01736500316011 VIAL, SINGLE-DOSE in 1 CARTON (73650-316-01) / 2 mL in 1 VIAL, SINGLE-DOSEMarketed from Nov 17, 2022

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)
Tzield
Generic name (nonproprietary)
teplizumab-mzwv
Active ingredients
Teplizumab — 1 mg/mL
Dosage form
Injection
Route
Intravenous
Labeler
Provention Bio, Inc.NDC labeler code 73650
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 761183
Marketing start
Listing expires
Other FDA classes
CD3-directed Antibody Interactions (Mechanism)
Identifiers
Product ID 73650-316_ba0bc7ea-2678-4b1a-9d21-367e2bfd697fSPL ID ba0bc7ea-2678-4b1a-9d21-367e2bfd697fSPL set ID e8a39a5f-139c-4510-9777-71cbb00138faRxCUI 2621885, 2621891UNII S4M959U2IJUPC 0373650316013
Pharmacologic class
CD3-directed Antibody

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

N473650031601 followed by a unit qualifier and the quantity

Package 73650-0316-01. 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)

TZIELD is indicated to [see Dosage and Administration (2.1) ]: Delay the onset of Stage 3 type 1 diabetes (T1D) in adult and pediatric patients 1 year of age and older with Stage 2 T1D. Delay the decline in endogenous insulin production in pediatric patients aged 8 to 17 years recently diagnosed with Stage 3 T1D. This indication is approved under accelerated approval based on evidence of reduced C-peptide decline [see Clinical Studies (14.2) ] . Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trial(s). Limitations of Use: There is limited evidence of safety and effectiveness in patients aged 45 years and older wit…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 73650-316

What is NDC 73650-316?
73650-316 is the product NDC for Tzield (teplizumab-mzwv), Teplizumab 1 mg/mL injection, listed with the FDA by Provention Bio, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Tzield (Teplizumab-mzwv).
What is the active ingredient?
Teplizumab.
Who is the labeler?
Provention Bio, Inc., NDC labeler code 73650. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Tzield?
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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