NDC codes

FDA NDC Directory
Product NDC (as listed)13533-703Labeler and product segments. Claims need a package NDC.
Product NDC at billing width13533-0703Add 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
13533-703-1013533070310135330703101 KIT in 1 CARTON (13533-703-10) * 20 mL in 1 VIAL, SINGLE-DOSE (13533-702-11) * 20 mL in 1 VIAL, SINGLE-DOSE (13533-200-20)Marketed from Dec 2, 1987

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Prolastin-C
Generic name (nonproprietary)
alpha-1-proteinase inhibitor (human)
Dosage form
Kit
Labeler
GRIFOLS USA, LLCNDC labeler code 13533
Product type
Plasma derivative
Marketing category
BLA — Biologics License ApplicationApplication BLA 103174
Marketing start
Listing expires
Identifiers
Product ID 13533-703_6a2d2b1f-c8f1-4002-ba1e-925179974d95SPL ID 6a2d2b1f-c8f1-4002-ba1e-925179974d95

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.

NDC on a medical claim

N413533070310 followed by a unit qualifier and the quantity

Package 13533-0703-10. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 13533-703

What is NDC 13533-703?
13533-703 is the product NDC for Prolastin-C (alpha-1-proteinase inhibitor (human)) kit, listed with the FDA by GRIFOLS USA, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Prolastin-C (Alpha-1-proteinase inhibitor (Human)).
Who is the labeler?
GRIFOLS USA, LLC, NDC labeler code 13533. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Prolastin-C?
2 other product NDCs are listed under this name. See all Prolastin-C 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 Prolastin-C NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Prolastin-Calpha-1-proteinase inhibitor (human)—KitGRIFOLS USA, LLC13533-70013533-0700-02
Prolastin-Calpha-1-proteinase inhibitor (human)—KitGRIFOLS USA, LLC13533-70613533-0706-22

Other NDCs under BLA 103174

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

FDA NDC Directory listings under BLA 103174
ProductStrengthForm · routeLabelerProduct NDC
Prolastin-Calpha-1-proteinase inhibitor (human)—KitGRIFOLS USA, LLC13533-700
Prolastin-Calpha-1-proteinase inhibitor (human)—KitGRIFOLS USA, LLC13533-706
Prolastin-C Liquidalpha1-proteinase inhibitor (human).alpha.1-proteinase inhibitor human 1000 mg/20mLInjection, SolutionIntravenousGRIFOLS USA, LLC13533-705

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