NDC codes

FDA NDC Directory
Product NDC (as listed)25208-001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width25208-0001Add 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
25208-001-0425208000104252080001041 VIAL, GLASS in 1 CARTON (25208-001-04) / 15 mL in 1 VIAL, GLASSMarketed from Oct 15, 2016

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)
Aggrastat
Generic name (nonproprietary)
tirofiban
Active ingredients
Tirofiban hydrochloride — 3.75 mg/15mL
Dosage form
Injection, Solution
Route
Intravenous
Labeler
Medicure International IncNDC labeler code 25208
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020912
Marketing start
Listing expires
Other FDA classes
Decreased Platelet Aggregation (Physiologic effect)
Identifiers
Product ID 25208-001_6fae214d-f37d-49ff-b1bb-266584eb664fSPL ID 6fae214d-f37d-49ff-b1bb-266584eb664fSPL set ID fe0ced75-ccbf-4d2e-bd0d-b57e60ab913fRxCUI 1737466, 1737468, 1737471, 1737472, 1813035, 1813037UNII 6H925F8O5J
Pharmacologic class
Platelet Aggregation 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

N425208000104 followed by a unit qualifier and the quantity

Package 25208-0001-04. 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)

AGGRASTAT® is indicated to reduce the rate of thrombotic cardiovascular events (combined endpoint of death, myocardial infarction, or refractory ischemia/repeat cardiac procedure) in patients with non-ST elevation acute coronary syndrome (NSTE-ACS). AGGRASTAT is a platelet aggregation inhibitor indicated to reduce the rate of thrombotic cardiovascular events (combined endpoint of death, myocardial infarction, or refractory ischemia/repeat cardiac procedure) in patients with non-ST elevation acute coronary syndrome (NSTE-ACS).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 25208-001

What is NDC 25208-001?
25208-001 is the product NDC for Aggrastat (tirofiban), Tirofiban hydrochloride 3.75 mg/15mL injection, solution, listed with the FDA by Medicure International Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Aggrastat (Tirofiban).
What is the active ingredient?
Tirofiban hydrochloride.
Who is the labeler?
Medicure International Inc, NDC labeler code 25208. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Aggrastat?
3 other product NDCs are listed under this name. See all Aggrastat NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Aggrastat NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
AggrastattirofibanTirofiban hydrochloride 3.75 mg/15mLInjection, SolutionIntravenousMedicure International Inc25208-90125208-0901-04
AggrastattirofibanTirofiban hydrochloride 5 mg/100mLInjection, SolutionIntravenousMedicure International Inc25208-00225208-0002-0125208-0002-02
AggrastattirofibanTirofiban hydrochloride 5 mg/100mLInjection, SolutionIntravenousMedicure International Inc25208-90225208-0902-0125208-0902-02

Other NDCs under NDA 020912

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

FDA NDC Directory listings under NDA 020912
ProductStrengthForm · routeLabelerProduct NDC
AggrastattirofibanTirofiban hydrochloride 3.75 mg/15mLInjection, SolutionIntravenousMedicure International Inc25208-901

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