NDC codes

FDA NDC Directory
Product NDC (as listed)83831-117Labeler and product segments. Claims need a package NDC.
Product NDC at billing width83831-0117Add 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
83831-117-02838310117021 VIAL, SINGLE-DOSE in 1 CARTON (83831-117-02) / 2 mL in 1 VIAL, SINGLE-DOSEMarketed from Aug 1, 2024

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)
Cyclophosphamide
Generic name (nonproprietary)
cyclophosphamide
Active ingredients
Cyclophosphamide — 1 g/2mL
Dosage form
Injection
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 210852
Marketing start
Listing expires
Identifiers
Product ID 83831-117_5fc45658-c2d9-41de-821f-ff6f40a469ddSPL ID 5fc45658-c2d9-41de-821f-ff6f40a469ddSPL set ID 6f593585-e0dd-48bc-bd2b-c6c787e0b98cRxCUI 2644738, 2644751, 2644824UNII 8N3DW7272PUPC 0383831118046, 0383831117025, 0383831116011

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

N483831011702 followed by a unit qualifier and the quantity

Package 83831-0117-02. 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)

Malignant Diseases Cyclophosphamide Injection is indicated for the treatment of adult and pediatric patients with: malignant lymphomas (Stages III and IV of the Ann Arbor staging system), Hodgkin's disease, lymphocytic lymphoma (nodular or diffuse), mixed-cell type lymphoma, histiocytic lymphoma Burkitt's lymphoma multiple myeloma leukemias: chronic lymphocytic leukemia, chronic granulocytic leukemia (it is usually ineffective in acute blastic crisis), acute myelogenous and monocytic leukemia, acute lymphoblastic (stem-cell) leukemia (cyclophosphamide given during remission is effective in prolonging its duration) mycosis fungoides (advanced disease) neuroblastoma (disseminated disease) aden…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 210852

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

FDA NDC Directory listings under NDA 210852
ProductStrengthForm · routeLabelerProduct NDC
CyclophosphamideCyclophosphamide 2 g/4mLInjectionIntravenousAvyxa Pharma, LLC83831-118
CyclophosphamideCyclophosphamide 500 mg/mLInjectionIntravenousAvyxa Pharma, LLC83831-116
FrindovyxcyclophosphamideCyclophosphamide 500 mg/mLInjectionIntravenousAVYXA Pharma, LLC83831-119
FrindovyxcyclophosphamideCyclophosphamide 1 g/2mLInjectionIntravenousAVYXA Pharma, LLC83831-120
FrindovyxcyclophosphamideCyclophosphamide 2 g/4mLInjectionIntravenousAVYXA Pharma, LLC83831-121

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