NDC codes

FDA NDC Directory
Product NDC (as listed)0169-2550Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00169-2550Add 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
0169-2550-1300169255013001692550133 SYRINGE, PLASTIC in 1 CARTON (0169-2550-13) / 3 mL in 1 SYRINGE, PLASTICMarketed from Sep 25, 2015
0169-2550-9700169255097001692550971 SYRINGE, PLASTIC in 1 CARTON (0169-2550-97) / 3 mL in 1 SYRINGE, PLASTIC (0169-2550-90)Marketed from Sep 25, 2015

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)
Tresiba
Generic name (nonproprietary)
insulin degludec
Active ingredients
Insulin degludec — 200 U/mL
Dosage form
Injection, Solution
Route
Subcutaneous
Labeler
Novo NordiskNDC labeler code 0169
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 203314
Marketing start
Listing expires
Other FDA classes
Insulin (Chemical structure)
Identifiers
Product ID 0169-2550_e5571110-ca7e-4fcc-88a8-9f1d0104c508SPL ID e5571110-ca7e-4fcc-88a8-9f1d0104c508SPL set ID 456c5e87-3dfd-46fa-8ac0-c6128d4c97c6RxCUI 1670011, 1670016, 1670021, 1670023, 2107520, 2107522UNII 54Q18076QB
Pharmacologic class
Insulin Analog

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

N400169255013 followed by a unit qualifier and the quantity

Package 00169-2550-13. 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)

TRESIBA is indicated to improve glycemic control in patients 1 year of age and older with diabetes mellitus. Limitations of Use • Not recommended for the treatment of diabetic ketoacidosis. TRESIBA is a long-acting human insulin analog indicated to improve glycemic control in patients 1 year of age and older with diabetes mellitus ( 1 ). Limitations of Use: • Not recommended for the treatment of diabetic ketoacidosis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0169-2550

What is NDC 0169-2550?
0169-2550 is the product NDC for Tresiba (insulin degludec), Insulin degludec 200 U/mL injection, solution, listed with the FDA by Novo Nordisk. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Tresiba (Insulin degludec).
What is the active ingredient?
Insulin degludec.
Who is the labeler?
Novo Nordisk, NDC labeler code 0169. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Tresiba?
4 other product NDCs are listed under this name. See all Tresiba 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 Tresiba NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Tresibainsulin degludecInsulin degludec 100 U/mLInjection, SolutionSubcutaneousNovo Nordisk0169-266200169-2662-1100169-2662-90
Tresibainsulin degludecInsulin degludec 100 U/mLInjection, SolutionSubcutaneousNovo Nordisk0169-266000169-2660-1500169-2660-97
Tresibainsulin degludecInsulin degludec 200 U/mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-349150090-3491-00
Tresibainsulin degludecInsulin degludec 200 U/mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-709450090-7094-00

Other NDCs under BLA 203314

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

FDA NDC Directory listings under BLA 203314
ProductStrengthForm · routeLabelerProduct NDC
Insulin DegludecInsulin degludec 200 U/mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-7175
Insulin DegludecInsulin degludec 100 U/mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-7176
Insulin DegludecInsulin degludec 100 U/mLInjection, SolutionSubcutaneousNovo Nordisk Pharma, Inc.73070-400
Insulin DegludecInsulin degludec 100 U/mLInjection, SolutionSubcutaneousNovo Nordisk Pharma, Inc.73070-403
Insulin DegludecInsulin degludec 200 U/mLInjection, SolutionSubcutaneousNovo Nordisk Pharma, Inc.73070-503
Tresibainsulin degludecInsulin degludec 100 U/mLInjection, SolutionSubcutaneousNovo Nordisk0169-2660
Tresibainsulin degludecInsulin degludec 100 U/mLInjection, SolutionSubcutaneousNovo Nordisk0169-2662
Tresibainsulin degludecInsulin degludec 200 U/mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-3491
Tresibainsulin degludecInsulin degludec 200 U/mLInjection, SolutionSubcutaneousA-S Medication Solutions50090-7094

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