NDC codes

FDA NDC Directory
Product NDC (as listed)50090-1502Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-1502Add 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
50090-1502-0500901502005009015020010 SYRINGE in 1 CARTON (50090-1502-0) / 1 mL in 1 SYRINGE (50090-1502-9)Marketed from Apr 13, 2007

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)
Havrix
Generic name (nonproprietary)
hepatitis a vaccine
Dosage form
Injection, Suspension
Route
Intramuscular
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Vaccine
Marketing category
BLA — Biologics License ApplicationApplication BLA 103475
Marketing start
Listing expires
Other FDA classes
Actively Acquired Immunity (Physiologic effect)Hepatitis A Vaccines (Chemical structure)Inactivated (Chemical structure)
Identifiers
Product ID 50090-1502_96e705a7-39f9-432d-b333-d3ba6baa0ca4SPL ID 96e705a7-39f9-432d-b333-d3ba6baa0ca4
Pharmacologic class
Inactivated Hepatitis A Virus Vaccine

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

Immunization administration (CPT 90460–90474)

Giving a vaccine is reported separately from the vaccine product code, with an immunization administration code. Which code applies depends on the patient's age, the route and whether counselling was provided.

How CPT relates to drug billing

NDC on a medical claim

N450090150200 followed by a unit qualifier and the quantity

Package 50090-1502-00. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 50090-1502

What is NDC 50090-1502?
50090-1502 is the product NDC for Havrix (hepatitis a vaccine), Hepatitis a virus strain hm175 antigen (Formaldehyde inactivated) 1440 [iU]/mL injection, suspension, listed with the FDA by A-S Medication Solutions. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Havrix (Hepatitis A Vaccine).
What is the active ingredient?
Hepatitis a virus strain hm175 antigen (Formaldehyde inactivated).
Who is the labeler?
A-S Medication Solutions, NDC labeler code 50090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Havrix?
3 other product NDCs are listed under this name. See all Havrix 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 Havrix NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Havrixhepatitis a vaccineHepatitis a virus strain hm175 antigen (Formaldehyde inactivated) 1440 [iU]/mLInjection, SuspensionIntramuscularGlaxoSmithKline Biologicals SA58160-82658160-0826-52
Havrixhepatitis a vaccineHepatitis a virus strain hm175 antigen (Formaldehyde inactivated) 720 [iU]/.5mLInjection, SuspensionIntramuscularA-S Medication Solutions50090-378150090-3781-00
Havrixhepatitis a vaccineHepatitis a virus strain hm175 antigen (Formaldehyde inactivated) 720 [iU]/.5mLInjection, SuspensionIntramuscularGlaxoSmithKline Biologicals SA58160-82558160-0825-52

Other NDCs under BLA 103475

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

FDA NDC Directory listings under BLA 103475
ProductStrengthForm · routeLabelerProduct NDC
Havrixhepatitis a vaccineHepatitis a virus strain hm175 antigen (Formaldehyde inactivated) 720 [iU]/.5mLInjection, SuspensionIntramuscularA-S Medication Solutions50090-3781
Havrixhepatitis a vaccineHepatitis a virus strain hm175 antigen (Formaldehyde inactivated) 720 [iU]/.5mLInjection, SuspensionIntramuscularGlaxoSmithKline Biologicals SA58160-825
Havrixhepatitis a vaccineHepatitis a virus strain hm175 antigen (Formaldehyde inactivated) 1440 [iU]/mLInjection, SuspensionIntramuscularGlaxoSmithKline Biologicals SA58160-826

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