Overview

Active ingredient: Polatuzumab vedotin. Each product below links to its own NDC page with package NDCs in 10- and 11-digit form.

Generic name
Polatuzumab vedotin
Active ingredients
Polatuzumab vedotin
Strengths
Polatuzumab vedotin 30 mg/1.88mL; Polatuzumab vedotin 140 mg/7.52mL
Dosage forms
Injection, Powder, Lyophilized, For solution
Routes
Intravenous
HCPCS / J-code
None in Med-Code's directory for these products
Package NDCs
2

NDC codes

Newest listings first. Each row links to the product’s NDC page.

Polivy NDC Codes: finished products
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)HCPCS
Polivypolatuzumab vedotinPolatuzumab vedotin 30 mg/1.88mLInjection, Powder, Lyophilized, For solutionIntravenousGenentech, Inc.50242-10350242-0103-01—
Polivypolatuzumab vedotinPolatuzumab vedotin 140 mg/7.52mLInjection, Powder, Lyophilized, For solutionIntravenousGenentech, Inc.50242-10550242-0105-01—

Polivy: common questions

What is the NDC for Polivy?
Polivy has 2 product NDCs, one for each strength, dosage form and labeler; each product NDC then has one package NDC per package size. Pick the row for your product above to see its package NDCs.
Is there a J-code for Polivy?
Med-Code's curated HCPCS directory has no drug-specific code for these products. Drugs dispensed by a pharmacy are billed by NDC. NDC vs J-code.
Which NDC goes on a claim?
The package NDC of what was given, in 11-digit form. How to convert a 10-digit NDC.

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Polivy NDC Codes & NDC Number | Med-Code