Mounjaro (tirzepatide) NDC 50090-8025

Product information

Brand name (proprietary)

Mounjaro

Generic name (nonproprietary)

tirzepatide

Active ingredients

Tirzepatide — 2.5 mg/.5mL

Dosage form

Injection, Solution

Route

Subcutaneous

Labeler

A-S Medication Solutions

Product type

Prescription drug

Marketing category

NDA — New Drug ApplicationApplication NDA 215866

Marketing start

May 13, 2022

Listing expires

Dec 31, 2027

Other FDA classes

G-Protein-linked Receptor Interactions (Mechanism)Glucagon-like Peptide-1 (GLP-1) Agonists (Mechanism)

Identifiers

Product ID 50090-8025_760c09dc-b1fa-4e2c-806a-dc2277ea8937SPL ID 760c09dc-b1fa-4e2c-806a-dc2277ea8937SPL set ID c1ceb7ca-9976-4ac1-b45c-3975de8aac4cRxCUI 2601761, 2601764UNII OYN3CCI6QE

Pharmacologic class

GLP-1 Receptor Agonist; Glucose-dependent Insulinotropic Polypeptide Receptor Agonist

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

No drug-specific HCPCS code in Med-Code’s directory for this product.

Med-Code's directory has no drug-specific HCPCS code for Mounjaro. It is usually self-administered and billed by NDC through a pharmacy benefit.

If a payer accepts an unclassified code for it in a clinical setting, that would be J3490 (Unclassified drugs), with the NDC, quantity and often the invoice. Acceptance varies by payer.

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

N450090802500 followed by a unit qualifier and the quantity Copy

Package 50090-8025-00. 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

Other NDCs under NDA 215866

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

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