NDC codes

FDA NDC Directory
Product NDC (as listed)59137-335Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59137-0335Add 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
59137-335-0159137033501591370335011 VIAL in 1 CARTON (59137-335-01) / 1 g in 1 VIALMarketed from Jan 28, 2025

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)
Grafapex
Generic name (nonproprietary)
treosulfan
Active ingredients
Treosulfan — 1000 mg/g
Dosage form
Injection, Powder, Lyophilized, For solution
Route
Intravenous
Labeler
Medexus Pharma, Inc.NDC labeler code 59137
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 214759
Marketing start
Listing expires
Identifiers
Product ID 59137-335_2d06b03c-17aa-0492-e063-6294a90abd8fSPL ID 2d06b03c-17aa-0492-e063-6294a90abd8fSPL set ID 2d06b03c-17aa-0492-e063-6294a90abd8fRxCUI 2703570, 2703575, 2703577, 2703579UNII CO61ER3EPI

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

N459137033501 followed by a unit qualifier and the quantity

Package 59137-0335-01. 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)

GRAFAPEX is an alkylating drug indicated for: Use in combination with fludarabine as a preparative regimen for allogeneic hematopoietic stem cell transplantation (alloHSCT) in adult and pediatric patients 1 year of age and older with acute myeloid leukemia (AML). ( 1.1 ). Use in combination with fludarabine as a preparative regimen for allogeneic hematopoietic stem cell transplantation in adult and pediatric patients 1 year of age and older with myelodysplastic syndrome (MDS). ( 1.2 ). 1.1 Acute Myeloid Leukemia GRAFAPEX is indicated in combination with fludarabine as a preparative regimen for allogeneic hematopoietic stem cell transplantation in adult and pediatric patients 1 year of age an…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 59137-335

What is NDC 59137-335?
59137-335 is the product NDC for Grafapex (treosulfan), Treosulfan 1000 mg/g injection, powder, lyophilized, for solution, listed with the FDA by Medexus Pharma, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Grafapex (Treosulfan).
What is the active ingredient?
Treosulfan.
Who is the labeler?
Medexus Pharma, Inc., NDC labeler code 59137. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Grafapex?
1 other product NDC are listed under this name. See all Grafapex NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Grafapex NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
GrafapextreosulfanTreosulfan 5000 mg/5gInjection, Powder, Lyophilized, For solutionIntravenousMedexus Pharma, Inc.59137-36559137-0365-01

Other NDCs under NDA 214759

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

FDA NDC Directory listings under NDA 214759
ProductStrengthForm · routeLabelerProduct NDC
GrafapextreosulfanTreosulfan 5000 mg/5gInjection, Powder, Lyophilized, For solutionIntravenousMedexus Pharma, Inc.59137-365

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