Vaccine · BLA
Infanrix NDC 58160-810
diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed · Clostridium tetani toxoid antigen (Formaldehyde inactivated) 10 [iU]/.5mL + 4 more ingredients · Suspension · Intramuscular · GlaxoSmithKline Biologicals SA
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 58160-810-52 | 5816008105258160081052 | 10 SYRINGE in 1 CARTON (58160-810-52) / .5 mL in 1 SYRINGE (58160-810-43)Marketed from Jul 24, 2009 |
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)
- Infanrix
- Generic name (nonproprietary)
- diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed
- Active ingredients
- Clostridium tetani toxoid antigen (Formaldehyde inactivated) — 10 [iU]/.5mLCorynebacterium diphtheriae toxoid antigen (Formaldehyde inactivated) — 25 [iU]/.5mLBordetella pertussis toxoid antigen (Formaldehyde, Glutaraldehyde inactivated) — 25 ug/.5mLBordetella pertussis filamentous hemagglutinin antigen (Formaldehyde inactivated) — 25 ug/.5mLBordetella pertussis pertactin antigen (Formaldehyde inactivated) — 8 ug/.5mL
- Dosage form
- Suspension
- Route
- Intramuscular
- Labeler
- GlaxoSmithKline Biologicals SANDC labeler code 58160
- Product type
- Vaccine
- Marketing category
- BLA — Biologics License ApplicationApplication BLA 103647
- Marketing start
- Listing expires
- Other FDA classes
- Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Diphtheria Toxoid (Chemical structure)Pertussis Vaccine (Chemical structure)Pertussis Vaccine (Chemical structure)Pertussis Vaccine (Chemical structure)Tetanus Toxoid (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)
- Identifiers
- Product ID 58160-810_3370ee1e-9acd-4f25-86c0-c6d7a32c1e93SPL ID 3370ee1e-9acd-4f25-86c0-c6d7a32c1e93
- Pharmacologic class
- Inactivated Bordetella Pertussis Vaccine; Inactivated Clostridium Tetani Vaccine; Inactivated Corynebacterium Diphtheriae Vaccine
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
Immunization administration (CPT 90460–90474)
Giving a vaccine is reported separately from the vaccine product code, with an immunization administration code. Which code applies depends on the patient's age, the route and whether counselling was provided.
- NDC on a medical claim
N458160081052followed by a unit qualifier and the quantityPackage 58160-0810-52. 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
The FDA listing for this product does not reference a label (SPL) set.
About NDC 58160-810
- What is NDC 58160-810?
- 58160-810 is the product NDC for Infanrix, Clostridium tetani toxoid antigen (Formaldehyde inactivated) 10 [iU]/.5mL + 4 more ingredients suspension, listed with the FDA by GlaxoSmithKline Biologicals SA. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Infanrix (Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine Adsorbed).
- What is the active ingredient?
- Clostridium tetani toxoid antigen (Formaldehyde inactivated), Corynebacterium diphtheriae toxoid antigen (Formaldehyde inactivated), Bordetella pertussis toxoid antigen (Formaldehyde, Glutaraldehyde inactivated), Bordetella pertussis filamentous hemagglutinin antigen (Formaldehyde inactivated), Bordetella pertussis pertactin antigen (Formaldehyde inactivated).
- Who is the labeler?
- GlaxoSmithKline Biologicals SA, NDC labeler code 58160. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Infanrix?
- None: this is the only finished product listed under this name.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.