NDC codes

FDA NDC Directory
Product NDC (as listed)50242-078Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50242-0078Add 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
50242-078-12502420078121 VIAL in 1 CARTON (50242-078-12) / 1 mL in 1 VIALMarketed from Oct 22, 2021
50242-078-55502420078551 VIAL in 1 CARTON (50242-078-55) / 1 mL in 1 VIALMarketed from Oct 22, 2021

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)
Susvimo
Generic name (nonproprietary)
ranibizumab
Active ingredients
Ranibizumab100 mg/mL
Dosage form
Injection, Solution
Route
Intravitreal
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 761197
Marketing start
Listing expires
Other FDA classes
Vascular Endothelial Growth Factor Inhibitors (Mechanism)
Identifiers
Product ID 50242-078_2850382e-4e4f-4005-a047-33fc758bafefSPL ID 2850382e-4e4f-4005-a047-33fc758bafefSPL set ID 9c6d9e2a-9a77-4d11-b692-de87cfde3444RxCUI 2584857, 2584863UNII ZL1R02VT79
Pharmacologic class
Vascular Endothelial Growth Factor 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 codeMed-Code curated

J2778 Injection, ranibizumab, 0.1 mg

Billing unit: 0.1 mg. Units on the claim = dose given ÷ 0.1 mg.

Ranibizumab biosimilars and the ranibizumab implant have their own HCPCS codes.

Administration

Intravitreal injection procedure (CPT 67028)

The intravitreal injection is reported as a separate procedure from the drug supplied.

How CPT relates to drug billing

NDC on a medical claim

N450242007812 followed by a unit qualifier and the quantity

Package 50242-0078-12. 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)

SUSVIMO (ranibizumab injection) is a vascular endothelial growth factor (VEGF) inhibitor indicated for the treatment of patients with: Neovascular (wet) Age-related Macular Degeneration (AMD) who have previously responded to at least two intravitreal injections of a VEGF inhibitor ( 1.1 ). Diabetic Macular Edema (DME) who have previously responded to at least two intravitreal injections of a VEGF inhibitor ( 1.2 ). Diabetic Retinopathy (DR) who have previously responded to at least two intravitreal injections of a VEGF inhibitor ( 1.3 ). 1.1 Neovascular (wet) Age-related Macular Degeneration (AMD) SUSVIMO (ranibizumab injection) is indicated for the treatment of patients with Neovascular (we

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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