Sublocade (buprenorphine) NDC 12496-0300

NDC codes

FDA NDC Directory

Product NDC (as listed)12496-0300Labeler and product segments. Claims need a package NDC.

Product NDC at billing width12496-0300Add 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 NDC	11-digit (billing)	Package	Copy
12496-0300-1	12496030001	1 POUCH in 1 CARTON (12496-0300-1) / 1 SYRINGE in 1 POUCH (12496-0300-2) / 1 SOLUTION in 1 SYRINGE (12496-0300-5)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 — 300 mg/1
Dosage form: Solution
Route: Subcutaneous
Labeler: Indivior Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 209819
Marketing start: Feb 26, 2018
Listing expires: Dec 31, 2027
DEA schedule: CIII
Other FDA classes: Partial Opioid Agonists (Mechanism)
Identifiers: Product ID 12496-0300_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

N412496030001 followed by a unit qualifier and the quantity

Package 12496-0300-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.