NDC codes

FDA NDC Directory
Product NDC (as listed)25021-179Labeler and product segments. Claims need a package NDC.
Product NDC at billing width25021-0179Add 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
25021-179-66250210179661 VIAL in 1 CARTON (25021-179-66) / 7 mL in 1 VIALMarketed from Feb 1, 2020
25021-179-672502101796710 VIAL in 1 CARTON (25021-179-67) / 7 mL in 1 VIALMarketed from Feb 1, 2020

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)
Daptomycin
Generic name (nonproprietary)
daptomycin
Active ingredients
Daptomycin — 350 mg/7mL
Dosage form
Injection, Powder, Lyophilized, For solution
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 208385
Marketing start
Listing expires
Other FDA classes
Lipopeptides (Chemical structure)
Identifiers
Product ID 25021-179_099e78d7-f7d7-4a64-8842-86da8a7db6ffSPL ID 099e78d7-f7d7-4a64-8842-86da8a7db6ffSPL set ID 4a0ad110-e55e-4d3b-84f8-dd0b924fe2f6RxCUI 1996246UNII NWQ5N31VKK
Pharmacologic class
Lipopeptide Antibacterial

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

N425021017966 followed by a unit qualifier and the quantity

Package 25021-0179-66. 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 .

Indications (excerpt from the label)

Daptomycin for Injection is a lipopeptide antibacterial indicated for the treatment of: Complicated skin and skin structure infections (cSSSI) in adult and pediatric patients (1 to 17 years of age) ( 1.1 ) and, Staphylococcus aureus bloodstream infections (bacteremia), in adult patients including those with right-sided infective endocarditis, ( 1.2 ) Staphylococcus aureus bloodstream infections (bacteremia) in pediatric patients (1 to 17 years of age). ( 1.3 ) Limitations of Use: Daptomycin for Injection is not indicated for the treatment of pneumonia. ( 1.4 ) Daptomycin for Injection is not indicated for the treatment of left-sided infective endocarditis due to S. aureus . ( 1.4 ) Daptomyci…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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