NDC codes

FDA NDC Directory
Product NDC (as listed)15054-0015Labeler and product segments. Claims need a package NDC.
Product NDC at billing width15054-0015Add 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
15054-0015-1150540015011 BLISTER PACK in 1 CARTON (15054-0015-1) / 14 CAPSULE in 1 BLISTER PACKMarketed from Aug 16, 2023

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)
Sohonos
Generic name (nonproprietary)
palovarotene
Active ingredients
Palovarotene — 1.5 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 215559
Marketing start
Listing expires
Other FDA classes
Retinoids (Chemical structure)
Identifiers
Product ID 15054-0015_91754786-5967-4f1a-90fc-e070366bf0f1SPL ID 91754786-5967-4f1a-90fc-e070366bf0f1SPL set ID 67dce406-7cc4-4d66-92de-ad18b6df0625RxCUI 2663960, 2663966, 2663968, 2663970, 2663972, 2663974, 2663976, 2663978, 2663980, 2663982UNII 28K6I5M16G
Pharmacologic class
Retinoid

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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N415054001501 followed by a unit qualifier and the quantity

Package 15054-0015-01. 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)

SOHONOS is indicated for the reduction in volume of new heterotopic ossification in adults and pediatric patients aged 8 years and older for females and 10 years and older for males with fibrodysplasia ossificans progressiva (FOP). SOHONOS is a retinoid indicated for reduction in the volume of new heterotopic ossification in adults and children aged 8 years and older for females and 10 years and older for males with fibrodysplasia ossificans progressiva (FOP) ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 215559

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

FDA NDC Directory listings under NDA 215559
ProductStrengthForm · routeLabelerProduct NDC
SohonospalovarotenePalovarotene 1 mg/1CapsuleOralIpsen Biopharmaceuticals, Inc.15054-0010
SohonospalovarotenePalovarotene 2.5 mg/1CapsuleOralIpsen Biopharmaceuticals, Inc.15054-0025
SohonospalovarotenePalovarotene 5 mg/1CapsuleOralIpsen Biopharmaceuticals, Inc.15054-0050
SohonospalovarotenePalovarotene 10 mg/1CapsuleOralIpsen Biopharmaceuticals, Inc.15054-0100

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