NDC codes

FDA NDC Directory
Product NDC (as listed)50419-392Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50419-0392Add 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
50419-392-0150419039201100 mL in 1 BOTTLE (50419-392-01)Marketed from Jul 26, 2019

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)
Vitrakvi
Generic name (nonproprietary)
larotrectinib
Active ingredients
Larotrectinib20 mg/mL
Dosage form
Solution, Concentrate
Route
Oropharyngeal
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 211710
Marketing start
Listing expires
Other FDA classes
Tropomyosin Receptor Kinases Inhibitors (Mechanism)
Identifiers
Product ID 50419-392_0e3ba6e7-af8d-4840-9409-a537a09e1263SPL ID 0e3ba6e7-af8d-4840-9409-a537a09e1263SPL set ID 0c8ca614-58b2-4aa4-83d3-0387a8f782fdRxCUI 2105633, 2105645, 2105649, 2105653, 2105655, 2105657UNII PF9462I9HX
Pharmacologic class
Kinase 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 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.

NDC on a medical claim

N450419039201 followed by a unit qualifier and the quantity

Package 50419-0392-01. 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 .

Indications (excerpt from the label)

VITRAKVI is indicated for the treatment of adult and pediatric patients with solid tumors that: have a neurotrophic receptor tyrosine kinase ( NTRK ) gene fusion without a known acquired resistance mutation, are metastatic or where surgical resection is likely to result in severe morbidity, and have no satisfactory alternative treatments or that have progressed following treatment. Select patients for therapy based on an FDA-approved test [see Dosage and Administration (2.1) ]. VITRAKVI is a kinase inhibitor indicated for the treatment of adult and pediatric patients with solid tumors that: have a neurotrophic receptor tyrosine kinase ( NTRK ) gene fusion without a known acquired resistance

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 211710

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

FDA NDC Directory listings under NDA 211710
ProductStrengthForm · routeLabelerProduct NDC
VitrakvilarotrectinibLarotrectinib 20 mg/mLSolution, ConcentrateOropharyngealBayer HealthCare Pharmaceuticals Inc.50419-393
VitrakvilarotrectinibLarotrectinib 20 mg/mLSolutionOralLoxo Oncology, Inc.71777-392

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