NDC codes

FDA NDC Directory
Product NDC (as listed)12496-0100Labeler and product segments. Claims need a package NDC.
Product NDC at billing width12496-0100Add 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
12496-0100-112496010001124960100011 POUCH in 1 CARTON (12496-0100-1) / 1 SYRINGE in 1 POUCH (12496-0100-2) / 1 SOLUTION in 1 SYRINGE (12496-0100-5)Marketed from Feb 26, 2018

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Sublocade
Generic name (nonproprietary)
buprenorphine
Active ingredients
Buprenorphine — 100 mg/1
Dosage form
Solution
Route
Subcutaneous
Labeler
Indivior Inc.NDC labeler code 12496
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 209819
Marketing start
Listing expires
DEA schedule
CIII
Other FDA classes
Partial Opioid Agonists (Mechanism)
Identifiers
Product ID 12496-0100_5799c0fd-6d82-f48a-e063-6394a90a63d6SPL ID 5799c0fd-6d82-f48a-e063-6394a90a63d6SPL set ID 6189fb21-9432-45f8-8481-0bfaf3ccde95RxCUI 1996184, 1996189, 1996192, 1996193UNII 40D3SCR4GZUPC 0312496030011, 0312496010013
Pharmacologic class
Partial Opioid Agonist

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

N412496010001 followed by a unit qualifier and the quantity

Package 12496-0100-01. 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)

SUBLOCADE is indicated for the treatment of moderate to severe opioid use disorder in patients who have initiated treatment with a single dose of a transmucosal buprenorphine product or who are already being treated with buprenorphine. SUBLOCADE should be used as part of a complete treatment plan that includes counseling and psychosocial support. SUBLOCADE contains buprenorphine, a partial opioid agonist, and is indicated for the treatment of moderate to severe opioid use disorder in patients who have initiated treatment with a single dose of a transmucosal buprenorphine product or who are already being treated with buprenorphine. ( 1 ) SUBLOCADE should be used as part of a complete treatmen…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 12496-0100

What is NDC 12496-0100?
12496-0100 is the product NDC for Sublocade (buprenorphine), Buprenorphine 100 mg/1 solution, listed with the FDA by Indivior Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sublocade (Buprenorphine).
What is the active ingredient?
Buprenorphine.
Who is the labeler?
Indivior Inc., NDC labeler code 12496. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sublocade?
1 other product NDC are listed under this name. See all Sublocade 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 Sublocade NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
SublocadebuprenorphineBuprenorphine 300 mg/1SolutionSubcutaneousIndivior Inc.12496-030012496-0300-01

Other NDCs under NDA 209819

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

FDA NDC Directory listings under NDA 209819
ProductStrengthForm · routeLabelerProduct NDC
SublocadebuprenorphineBuprenorphine 300 mg/1SolutionSubcutaneousIndivior Inc.12496-0300

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