NDC codes

FDA NDC Directory
Product NDC (as listed)25021-246Labeler and product segments. Claims need a package NDC.
Product NDC at billing width25021-0246Add 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
25021-246-02250210246021 VIAL in 1 CARTON (25021-246-02) / 1.5 mL in 1 VIALMarketed from Jun 15, 2018

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)
Thiotepa
Generic name (nonproprietary)
thiotepa
Active ingredients
Thiotepa15 mg/1.5mL
Dosage form
Injection, Powder, Lyophilized, For solution
Route
Intracavitary, Intravenous, Intravesical
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209150
Marketing start
Listing expires
Other FDA classes
Alkylating Activity (Mechanism)
Identifiers
Product ID 25021-246_94e38a38-8923-499d-bd75-f85754d7c730SPL ID 94e38a38-8923-499d-bd75-f85754d7c730SPL set ID 448c29f1-6d9c-4f8e-8a69-9b85e973e728RxCUI 1660009UNII 905Z5W3GKH
Pharmacologic class
Alkylating Drug

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

N425021024602 followed by a unit qualifier and the quantity

Package 25021-0246-02. 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)

INDICATIONS AND USAGE Thiotepa for Injection has been tried with varying results in the palliation of a wide variety of neoplastic diseases. However, the most consistent results have been seen in the following tumors: Adenocarcinoma of the breast. Adenocarcinoma of the ovary. For controlling intracavitary effusions secondary to diffuse or localized neoplastic diseases of various serosal cavities. For the treatment of superficial papillary carcinoma of the urinary bladder. While now largely superseded by other treatments, Thiotepa for Injection has been effective against other lymphomas, such as lymphosarcoma and Hodgkin's disease.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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