NDC codes

FDA NDC Directory
Product NDC (as listed)50242-108Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50242-0108Add 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
50242-108-01502420108011 VIAL, SINGLE-DOSE in 1 CARTON (50242-108-01) / 11.7 mL in 1 VIAL, SINGLE-DOSEMarketed from Jun 22, 2017
50242-108-86502420108861 VIAL, SINGLE-DOSE in 1 CARTON (50242-108-86) / 11.7 mL in 1 VIAL, SINGLE-DOSEMarketed from Jun 23, 2017 · Sample package

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)
Rituxan Hycela
Generic name (nonproprietary)
rituximab and hyaluronidase
Active ingredients
Rituximab120 mg/mLHyaluronidase (Human recombinant)2000 U/mL
Dosage form
Injection, Solution
Route
Subcutaneous
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 761064
Marketing start
Listing expires
Other FDA classes
CD20-directed Antibody Interactions (Mechanism)Glycoside Hydrolases (Chemical structure)
Identifiers
Product ID 50242-108_e8a259ac-2a09-4026-823c-f23cbcba6a2bSPL ID e8a259ac-2a09-4026-823c-f23cbcba6a2bSPL set ID 3e5b7e82-f018-4eaf-ae78-d6145a906b20RxCUI 1927885, 1927890, 1927893, 1927894UNII 4F4X42SYQ6, 743QUY4VD8
Pharmacologic class
CD20-directed Cytolytic Antibody; Endoglycosidase

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

N450242010801 followed by a unit qualifier and the quantity

Package 50242-0108-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

RITUXAN HYCELA is a combination of rituximab, a CD20-directed cytolytic antibody, and hyaluronidase human, an endoglycosidase, indicated for the treatment of adult patients with: Follicular Lymphoma (FL) ( 1.1 ) Relapsed or refractory, follicular lymphoma as a single agent Previously untreated follicular lymphoma in combination with first line chemotherapy and, in patients achieving a complete or partial response to rituximab in combination with chemotherapy, as single-agent maintenance therapy Non-progressing (including stable disease), follicular lymphoma as a single agent after first-line cyclophosphamide, vincristine, and prednisone (CVP) chemotherapy Diffuse Large B-cell Lymphoma (DLBCL

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under BLA 761064

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

FDA NDC Directory listings under BLA 761064
ProductStrengthForm · routeLabelerProduct NDC
Rituxan Hycelarituximab and hyaluronidaseRituximab 120 mg/mL; Hyaluronidase (Human recombinant) 2000 U/mLInjection, SolutionSubcutaneousGenentech, Inc.50242-109

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