Active substance: Meningococcal groups a, b, c, w, and y vaccine
Penbraya (Meningococcal groups a, b, c, w, and y vaccine) NDC 0069-0600 converts to 00069-0600-01 for billing and bills under NDC-Only at Per Unit / Tablet / Capsule.
Calculate the exact number of billable HCPCS units to report on CMS-1500 / 837P claims based on the patient dose and single-dose vial waste.
| Formulation / role | Package NDC | Product NDC | 11-digit HIPAA | Packaging detail | Copy |
|---|---|---|---|---|---|
| Outer kit carton | 0069-0600-01 | 0069-0600 | 00069-0600-01 | 1 KIT in 1 CARTON (0069-0600-01) / 1 KIT in 1 KIT (0069-0600-99) * .5 mL in 1 SYRINGE (0069-0332-01) * .5 mL in 1 VIAL, GLASS (0069-0271-01) | |
| Vial component | 0069-0600-99 | 0069-0600 | 00069-0600-99 | Inner component of kit (0069-0600-01) | |
| Vial component | 0069-0332-01 | 0069-0600 | 00069-0332-01 | Inner component of kit (0069-0600-01) | |
| Vial component | 0069-0271-01 | 0069-0600 | 00069-0271-01 | Inner component of kit (0069-0600-01) | |
| Outer kit carton | 0069-0600-05 | 0069-0600 | 00069-0600-05 | 5 KIT in 1 CARTON (0069-0600-05) / 1 KIT in 1 KIT (0069-0600-99) * .5 mL in 1 SYRINGE (0069-0332-01) * .5 mL in 1 VIAL, GLASS (0069-0271-01) | |
| Outer kit carton | 0069-0600-10 | 0069-0600 | 00069-0600-10 | 10 KIT in 1 CARTON (0069-0600-10) / 1 KIT in 1 KIT (0069-0600-99) * .5 mL in 1 SYRINGE (0069-0332-01) * .5 mL in 1 VIAL, GLASS (0069-0271-01) |
No Structured Product Labeling submission was returned for this listing, so the sections below are derived from its FDA registration record rather than the manufacturer's label.