NDC codes

FDA NDC Directory
Product NDC (as listed)50090-5925Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-5925Add 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
50090-5925-0500905925001 SYRINGE in 1 CARTON (50090-5925-0) / 1 mL in 1 SYRINGEMarketed from Feb 25, 2022

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)
medroxyprogesterone acetate
Generic name (nonproprietary)
medroxyprogesterone acetate
Active ingredients
Medroxyprogesterone acetate150 mg/mL
Dosage form
Injection, Suspension
Route
Intramuscular
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 020246
Marketing start
Listing expires
Other FDA classes
Progesterone Congeners (Chemical structure)
Identifiers
Product ID 50090-5925_66ef6644-216f-4f03-af6e-d3ca132cf7ccSPL ID 66ef6644-216f-4f03-af6e-d3ca132cf7ccSPL set ID ca344c55-5251-470f-9243-eceb9e496e3eRxCUI 1000153UNII C2QI4IOI2G
Pharmacologic class
Progestin

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 codeMed-Code curated

J1050 Injection, medroxyprogesterone acetate, 1 mg

Billing unit: 1 mg. Units on the claim = dose given ÷ 1 mg.

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

N450090592500 followed by a unit qualifier and the quantity

Package 50090-5925-00. 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

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

Medroxyprogesterone Acetate (MPA) Injectable Suspension, USP is indicated for use by females of reproductive potential to prevent pregnancy. Medroxyprogesterone Acetate (MPA) Injectable Suspension, USP is a progestin indicated for use by females of reproductive potential to prevent pregnancy. ( 1 ) Limitations of Use : The use of MPA Injectable Suspension, USP is not recommended as a long-term (i.e., longer than 2 years) birth control method unless other options are considered inadequate. ( 1 , 5.1 ) Limitations of Use : The use of MPA Injectable Suspension, USP is not recommended as a long-term (i.e., longer than 2 years) birth control method unless other options are considered inadequate [

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 020246

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

FDA NDC Directory listings under NDA 020246
ProductStrengthForm · routeLabelerProduct NDC
Depo-Proveramedroxyprogesterone acetateMedroxyprogesterone acetate 150 mg/mLInjection, SuspensionIntramuscularPharmacia & Upjohn Company LLC0009-0746
Depo-Proveramedroxyprogesterone acetateMedroxyprogesterone acetate 150 mg/mLInjection, SuspensionIntramuscularPharmacia & Upjohn Company LLC0009-7376
medroxyprogesterone acetateMedroxyprogesterone acetate 150 mg/mLInjection, SuspensionIntramuscularA-S Medication Solutions50090-5619
medroxyprogesterone acetateMedroxyprogesterone acetate 150 mg/mLInjection, SuspensionIntramuscularPrasco Laboratories66993-370
medroxyprogesterone acetateMedroxyprogesterone acetate 150 mg/mLInjection, SuspensionIntramuscularPrasco Laboratories66993-371

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