NDC codes

FDA NDC Directory
Product NDC (as listed)25021-416Labeler and product segments. Claims need a package NDC.
Product NDC at billing width25021-0416Add 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
25021-416-01250210416011 VIAL in 1 CARTON (25021-416-01) / 1.2 mL in 1 VIALMarketed from Aug 1, 2024

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)
Plerixafor
Generic name (nonproprietary)
plerixafor
Active ingredients
Plerixafor — 20 mg/mL
Dosage form
Injection, Solution
Route
Subcutaneous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206644
Marketing start
Listing expires
Other FDA classes
Increased Hematopoietic Stem Cell Mobilization (Physiologic effect)
Identifiers
Product ID 25021-416_69c3fb68-4dfb-43db-bc59-421e4b3dfa0cSPL ID 69c3fb68-4dfb-43db-bc59-421e4b3dfa0cSPL set ID 711b7bf7-4385-4365-b12a-ede6c3f1ed45RxCUI 828700UNII S915P5499N
Pharmacologic class
Hematopoietic Stem Cell Mobilizer

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

N425021041601 followed by a unit qualifier and the quantity

Package 25021-0416-01. 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 .

Indications (excerpt from the label)

Plerixafor Injection is indicated in combination with filgrastim to mobilize hematopoietic stem cells (HSCs) to the peripheral blood for collection and subsequent autologous transplantation in patients with non-Hodgkin's lymphoma (NHL) or multiple myeloma (MM). Plerixafor Injection, a hematopoietic stem cell mobilizer, is indicated in combination with filgrastim to mobilize hematopoietic stem cells (HSCs) to the peripheral blood for collection and subsequent autologous transplantation in patients with non-Hodgkin's lymphoma or multiple myeloma. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 206644

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

FDA NDC Directory listings under ANDA 206644
ProductStrengthForm · routeLabelerProduct NDC
PlerixaforPlerixafor 24 mg/1.2mLInjection, SolutionSubcutaneousGland Pharma Limited68083-155

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