NDC codes

FDA NDC Directory
Product NDC (as listed)16729-277Labeler and product segments. Claims need a package NDC.
Product NDC at billing width16729-0277Add 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
16729-277-03167290277031 VIAL in 1 CARTON (16729-277-03) / 10 mL in 1 VIALMarketed from Mar 7, 2014
16729-277-30167290277301 VIAL in 1 CARTON (16729-277-30) / 2 mL in 1 VIALMarketed from Mar 7, 2014
16729-277-35167290277351 VIAL in 1 CARTON (16729-277-35) / 40 mL in 1 VIALMarketed from Mar 7, 2014

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)
Methotrexate
Generic name (nonproprietary)
methotrexate
Active ingredients
Methotrexate — 25 mg/mL
Dosage form
Injection
Route
Intra-arterial, Intramuscular, Intrathecal, Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040716
Marketing start
Listing expires
Other FDA classes
Folic Acid Metabolism Inhibitors (Mechanism)
Identifiers
Product ID 16729-277_5aa89975-d1a1-19f1-e063-6294a90a4b3eSPL ID 5aa89975-d1a1-19f1-e063-6294a90a4b3eSPL set ID dd035a9f-cd40-4314-b9d8-2294b8a924e2RxCUI 1655956, 1655959, 1655960UNII YL5FZ2Y5U1UPC 0316729277037, 0316729277358, 0316729277303
Pharmacologic class
Folate Analog Metabolic Inhibitor

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

N416729027703 followed by a unit qualifier and the quantity

Package 16729-0277-03. 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)

Methotrexate Injection is a folate analog metabolic inhibitor indicated for The following neoplastic diseases for the: Treatment of adult and pediatric patients with acute lymphoblastic leukemia as part of a combination chemotherapy regimen ( 1.1 ) Prophylaxis and treatment of adult and pediatric patients with meningeal leukemia ( 1.2 ) Treatment of adult and pediatric patients with non-Hodgkin lymphoma ( 1.3 ) Treatment of adult and pediatric patients with osteosarcoma as part of a combination chemotherapy regimen ( 1.4 ) Treatment of adults with breast cancer as part of a combination chemotherapy regimen ( 1.5 ) Treatment of adults with squamous cell carcinoma of the head and neck as singl…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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