NDC codes

FDA NDC Directory
Product NDC (as listed)55513-192Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55513-0192Add 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
55513-192-01555130192011 KIT in 1 CARTON (55513-192-01) * .6 mL in 1 SYRINGEMarketed from Feb 20, 2015

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)
Neulasta
Generic name (nonproprietary)
pegfilgrastim
Dosage form
Kit
Labeler
Amgen, Inc
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 125031
Marketing start
Listing expires
Identifiers
Product ID 55513-192_a090f981-1f1f-4a5b-adc7-31f1022c4748SPL ID a090f981-1f1f-4a5b-adc7-31f1022c4748SPL set ID fdfe5d72-6b80-435a-afa4-c5d74dd852ceRxCUI 727539, 727542, 2549331, 2549333, 2739503, 2739504UNII 3A58010674

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

N455513019201 followed by a unit qualifier and the quantity

Package 55513-0192-01. 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)

Neulasta is a leukocyte growth factor indicated in adult and pediatric patients to Decrease the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a clinically significant incidence of febrile neutropenia. ( 1.1 ) Increase survival in patients acutely exposed to myelosuppressive doses of radiation (Hematopoietic Subsyndrome of Acute Radiation Syndrome). ( 1.2 ) Limitations of Use Neulasta is not indicated for the mobilization of peripheral blood progenitor cells for hematopoietic stem cell transplantation. 1.1 Patients with Cancer Receiving Myelosuppressive Chemotherapy Neulasta

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under BLA 125031

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

FDA NDC Directory listings under BLA 125031
ProductStrengthForm · routeLabelerProduct NDC
NeulastapegfilgrastimPegfilgrastim 4 mg/.4mLSolutionSubcutaneousAmgen, Inc55513-099
NeulastapegfilgrastimPegfilgrastim 6 mg/.6mLInjectionSubcutaneousAmgen, Inc55513-190

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