NDC codes

FDA NDC Directory
Product NDC (as listed)0781-3250Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00781-3250Add 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
0781-3250-89007813250890078132508912 BLISTER PACK in 1 CARTON (0781-3250-89) / 1 SYRINGE, GLASS in 1 BLISTER PACK / 1 mL in 1 SYRINGE, GLASS (0781-3250-71)Marketed from Feb 12, 2018

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)
Glatopa
Generic name (nonproprietary)
glatiramer acetate
Active ingredients
Glatiramer acetate — 40 mg/mL
Dosage form
Injection, Solution
Route
Subcutaneous
Labeler
Sandoz IncNDC labeler code 0781
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206921
Marketing start
Listing expires
Identifiers
Product ID 0781-3250_104fa47b-517a-44aa-9308-55c97679540bSPL ID 104fa47b-517a-44aa-9308-55c97679540bSPL set ID 5f01e40a-b6f6-40fb-b37c-3d06f1428e86RxCUI 1111641, 1487361, 1654630, 2000007UNII 5M691HL4BO

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

N400781325089 followed by a unit qualifier and the quantity

Package 00781-3250-89. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Glatopa is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. Glatopa is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0781-3250

What is NDC 0781-3250?
0781-3250 is the product NDC for Glatopa (glatiramer acetate), Glatiramer acetate 40 mg/mL injection, solution, listed with the FDA by Sandoz Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Glatopa (Glatiramer Acetate).
What is the active ingredient?
Glatiramer acetate.
Who is the labeler?
Sandoz Inc, NDC labeler code 0781. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Glatopa?
3 other product NDCs are listed under this name. See all Glatopa 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 Glatopa NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Glatopaglatiramer acetateGlatiramer acetate 40 mg/mLInjection, SolutionSubcutaneousBryant Ranch Prepack63629-881663629-8816-01
Glatopaglatiramer acetateGlatiramer acetate 20 mg/mLInjection, SolutionSubcutaneousSandoz Inc0781-323400781-3234-34
Glatopaglatiramer acetateGlatiramer acetate 20 mg/mLInjection, SolutionSubcutaneousBryant Ranch Prepack63629-881563629-8815-01

Other NDCs under ANDA 206921

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

FDA NDC Directory listings under ANDA 206921
ProductStrengthForm · routeLabelerProduct NDC
Glatopaglatiramer acetateGlatiramer acetate 40 mg/mLInjection, SolutionSubcutaneousBryant Ranch Prepack63629-8816

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