NDC codes

FDA NDC Directory
Product NDC (as listed)50242-135Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50242-0135Add 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
50242-135-01502420135011 VIAL, SINGLE-USE in 1 BOX (50242-135-01) / 4 mL in 1 VIAL, SINGLE-USEMarketed from Jan 8, 2010

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)
Actemra
Generic name (nonproprietary)
tocilizumab
Active ingredients
Tocilizumab — 80 mg/4mL
Dosage form
Injection, Solution, Concentrate
Route
Intravenous
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 125276
Marketing start
Listing expires
Other FDA classes
Interleukin 6 Receptor Antagonists (Mechanism)
Identifiers
Product ID 50242-135_7f1b03d3-e0e1-4d90-b588-bb8d3ecb154aSPL ID 7f1b03d3-e0e1-4d90-b588-bb8d3ecb154aSPL set ID 2e5365ff-cb2a-4b16-b2c7-e35c6bf2de13RxCUI 1441527, 1441530, 1657974, 1657976, 1657979, 1657980, 1657981, 1657982, 2106073, 2106075UNII I031V2H011
Pharmacologic class
Interleukin-6 Receptor Antagonist

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

N450242013501 followed by a unit qualifier and the quantity

Package 50242-0135-01. 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)

ACTEMRA ® (tocilizumab) is an interleukin-6 (IL-6) receptor antagonist indicated for treatment of: Rheumatoid Arthritis (RA) ( 1.1 ) Adult patients with moderately to severely active rheumatoid arthritis who have had an inadequate response to one or more Disease-Modifying Anti-Rheumatic Drugs (DMARDs). Giant Cell Arteritis (GCA) ( 1.2 ) Adult patients with giant cell arteritis. Systemic Sclerosis-Associated Interstitial Lung Disease (SSc-ILD) ( 1.3 ) Slowing the rate of decline in pulmonary function in adult patients with systemic sclerosis-associated interstitial lung disease (SSc-ILD) Polyarticular Juvenile Idiopathic Arthritis (PJIA) ( 1.4 ) Patients 2 years of age and older with active p…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under BLA 125276

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

FDA NDC Directory listings under BLA 125276
ProductStrengthForm · routeLabelerProduct NDC
ActemratocilizumabTocilizumab 200 mg/10mLInjection, Solution, ConcentrateIntravenousGenentech, Inc.50242-136
ActemratocilizumabTocilizumab 400 mg/20mLInjection, Solution, ConcentrateIntravenousGenentech, Inc.50242-137

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