NDC codes

FDA NDC Directory
Product NDC (as listed)0026-3821Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00026-3821Add 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
0026-3821-2500026382125000263821251 KIT in 1 BOX (0026-3821-25) * 2.5 mL in 1 VIAL, SINGLE-USE (0026-4821-99) * 2.5 mL in 1 SYRINGE (0026-0426-02) * 2.5 mL in 1 VIAL, SINGLE-USE (0026-4821-01)Marketed from Mar 17, 2016
0026-3821-9900026382199000263821991 KIT in 1 BOX (0026-3821-99) * 2.5 mL in 1 VIAL, SINGLE-USE (0026-4821-99) * 2.5 mL in 1 SYRINGE (0026-0426-02) * 2.5 mL in 1 VIAL, SINGLE-USE (0026-4821-01)Marketed from Mar 17, 2016

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Kovaltry
Generic name (nonproprietary)
antihemophilic factor (recombinant)
Dosage form
Kit
Labeler
Bayer HealthCare LLCNDC labeler code 0026
Product type
Plasma derivative
Marketing category
BLA — Biologics License ApplicationApplication BLA 125574
Marketing start
Listing expires
Identifiers
Product ID 0026-3821_f4bed724-db3e-448e-8947-2f6a6913f1eeSPL ID f4bed724-db3e-448e-8947-2f6a6913f1ee

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.

NDC on a medical claim

N400026382125 followed by a unit qualifier and the quantity

Package 00026-3821-25. 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 0026-3821

What is NDC 0026-3821?
0026-3821 is the product NDC for Kovaltry (antihemophilic factor (recombinant)) kit, listed with the FDA by Bayer HealthCare LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Kovaltry (Antihemophilic Factor (Recombinant)).
Who is the labeler?
Bayer HealthCare LLC, NDC labeler code 0026. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Kovaltry?
4 other product NDCs are listed under this name. See all Kovaltry NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Kovaltry NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Kovaltryantihemophilic factor (recombinant)—KitBayer HealthCare LLC0026-382200026-3822-2500026-3822-99
Kovaltryantihemophilic factor (recombinant)—KitBayer HealthCare LLC0026-382400026-3824-2500026-3824-99
Kovaltryantihemophilic factor (recombinant)—KitBayer HealthCare LLC0026-382600026-3826-5000026-3826-99
Kovaltryantihemophilic factor (recombinant)—KitBayer HealthCare LLC0026-382800026-3828-5000026-3828-99

Other NDCs under BLA 125574

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

FDA NDC Directory listings under BLA 125574
ProductStrengthForm · routeLabelerProduct NDC
Kovaltryantihemophilic factor (recombinant)—KitBayer HealthCare LLC0026-3822
Kovaltryantihemophilic factor (recombinant)—KitBayer HealthCare LLC0026-3824
Kovaltryantihemophilic factor (recombinant)—KitBayer HealthCare LLC0026-3826
Kovaltryantihemophilic factor (recombinant)—KitBayer HealthCare LLC0026-3828

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