NDC codes

FDA NDC Directory
Product NDC (as listed)55566-7501Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55566-7501Add 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
55566-7501-2555667501021 CARTON in 1 CARTON (55566-7501-2) / 1 KIT in 1 CARTON (55566-7501-1) * 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE (55566-7502-0) * 1 INJECTION in 1 VIAL (55566-1600-0)Marketed from Oct 29, 2004

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Menopur
Generic name (nonproprietary)
menotropins
Dosage form
Kit
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 021663
Marketing start
Listing expires
Identifiers
Product ID 55566-7501_86b6dd31-68e2-4309-9e5b-27ce79c8b4a0SPL ID 86b6dd31-68e2-4309-9e5b-27ce79c8b4a0SPL set ID 22c8db95-c3db-1770-8086-31356fbabe35RxCUI 314097, 753990

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

N455566750102 followed by a unit qualifier and the quantity

Package 55566-7501-02. 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

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