Egrifta Sv (tesamorelin) NDC 62064-241

NDC codes

FDA NDC Directory

Product NDC (as listed)62064-241Labeler and product segments. Claims need a package NDC.

Product NDC at billing width62064-0241Add 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 NDC	11-digit (billing)	Package	Copy
62064-241-30	62064024130	1 KIT in 1 BOX (62064-241-30) * .5 mL in 1 VIAL * 30 BOTTLE in 1 TRAY / 10 mL in 1 BOTTLEMarketed from Nov 4, 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): Egrifta Sv
Generic name (nonproprietary): tesamorelin
Dosage form: Kit
Route: Subcutaneous
Labeler: Theratechnologies Inc.
Product type: Prescription drug
Marketing category: BLA — Biologics License ApplicationApplication BLA 022505
Marketing start: Nov 4, 2019
Listing expires: Dec 31, 2027
Identifiers: Product ID 62064-241_7d9be20d-e0a5-47ab-997e-82ab2bd54cbaSPL ID 7d9be20d-e0a5-47ab-997e-82ab2bd54cbaSPL set ID 3d783378-b02d-4f19-99dd-0fc91a042224RxCUI 1044587, 1044591

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

N462064024130 followed by a unit qualifier and the quantity

Package 62064-0241-30. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under BLA 022505

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

FDA NDC Directory listings under BLA 022505
Product	Strength	Form · route	Labeler	Product NDC
Egrifta Wrtesamorelin	—	KitSubcutaneous	Theratechnologies Inc.	62064-381