NDC codes

FDA NDC Directory
Product NDC (as listed)75987-150Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75987-0150Add 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
75987-150-03759870150033 VIAL, SINGLE-DOSE in 1 CARTON (75987-150-03) / 10 mL in 1 VIAL, SINGLE-DOSE (75987-150-01)Marketed from Jun 11, 2020

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)
Uplizna
Generic name (nonproprietary)
inebilizumab
Active ingredients
Inebilizumab — 10 mg/mL
Dosage form
Injection
Route
Intravenous
Labeler
Horizon Therapeutics USA, Inc.NDC labeler code 75987
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 761142
Marketing start
Listing expires
Other FDA classes
CD19-directed Antibody Interactions (Mechanism)
Identifiers
Product ID 75987-150_d1a3046b-eb83-4a3a-a377-4794c009f04cSPL ID d1a3046b-eb83-4a3a-a377-4794c009f04c
Pharmacologic class
CD19-directed Cytolytic 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

N475987015003 followed by a unit qualifier and the quantity

Package 75987-0150-03. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 75987-150

What is NDC 75987-150?
75987-150 is the product NDC for Uplizna (inebilizumab), Inebilizumab 10 mg/mL injection, listed with the FDA by Horizon Therapeutics USA, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Uplizna (Inebilizumab).
What is the active ingredient?
Inebilizumab.
Who is the labeler?
Horizon Therapeutics USA, Inc., NDC labeler code 75987. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Uplizna?
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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