NDC codes

FDA NDC Directory
Product NDC (as listed)44087-1116Labeler and product segments. Claims need a package NDC.
Product NDC at billing width44087-1116Add 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
44087-1116-144087111601440871116011 PACKAGE in 1 CARTON (44087-1116-1) / .75 mL in 1 PACKAGEMarketed from Oct 16, 2013

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Gonal-f RFF Redi-ject
Generic name (nonproprietary)
follitropin
Active ingredients
Follitropin — 450 [iU]/.75mL
Dosage form
Injection, Solution
Route
Subcutaneous
Labeler
EMD Serono, Inc.NDC labeler code 44087
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 021684
Marketing start
Listing expires
Other FDA classes
Gonadotropins (Chemical structure)
Identifiers
Product ID 44087-1116_657d712c-ea55-4e2b-9111-ed8dc792887bSPL ID 657d712c-ea55-4e2b-9111-ed8dc792887bSPL set ID b6d11c45-b502-478e-bb28-2ff596ea259cRxCUI 1594334, 1594418, 1594432, 1654171, 1654179, 1654184UNII 076WHW89TW
Pharmacologic class
Gonadotropin

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

N444087111601 followed by a unit qualifier and the quantity

Package 44087-1116-01. 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)

GONAL-f ® RFF Redi-ject ® is a prefilled gonadotropin-containing auto-injection device indicated for: Induction of ovulation and pregnancy in oligo-anovulatory women in whom the cause of infertility is functional and not due to primary ovarian failure ( 1.1 ) Development of multiple follicles in ovulatory women as part of an Assisted Reproductive Technology (ART) cycle ( 1.2 ) 1.1 Induction of Ovulation and Pregnancy in Oligo-Anovulatory Women in whom the Cause of Infertility is Functional and Not Due to Primary Ovarian Failure. Prior to initiation of treatment with GONAL-f ® RFF Redi-ject ® : Perform a complete gynecologic and endocrinologic evaluation Exclude primary ovarian failure Exclud…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 44087-1116

What is NDC 44087-1116?
44087-1116 is the product NDC for Gonal-f RFF Redi-ject (follitropin), Follitropin 450 [iU]/.75mL injection, solution, listed with the FDA by EMD Serono, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Gonal-f RFF Redi-ject (Follitropin).
What is the active ingredient?
Follitropin.
Who is the labeler?
EMD Serono, Inc., NDC labeler code 44087. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Gonal-f RFF Redi-ject?
2 other product NDCs are listed under this name. See all Gonal-f RFF Redi-ject 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 Gonal-f RFF Redi-ject NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Gonal-f RFF Redi-jectfollitropinFollitropin 300 [iU]/.5mLInjection, SolutionSubcutaneousEMD Serono, Inc.44087-111544087-1115-01
Gonal-f RFF Redi-jectfollitropinFollitropin 900 [iU]/1.5mLInjection, SolutionSubcutaneousEMD Serono, Inc.44087-111744087-1117-01

Other NDCs under BLA 021684

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

FDA NDC Directory listings under BLA 021684
ProductStrengthForm · routeLabelerProduct NDC
Gonal-f RFF Redi-jectfollitropinFollitropin 300 [iU]/.5mLInjection, SolutionSubcutaneousEMD Serono, Inc.44087-1115
Gonal-f RFF Redi-jectfollitropinFollitropin 900 [iU]/1.5mLInjection, SolutionSubcutaneousEMD Serono, Inc.44087-1117

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