Prescription drug · BLA
ENTYVIO Pen (vedolizumab) NDC 64764-108
Vedolizumab 108 mg/.68mL · Injection, Solution · Subcutaneous · Takeda Pharmaceuticals America, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 64764-108-21 | 64764010821 | 1 TRAY in 1 CARTON (64764-108-21) / 1 SYRINGE in 1 TRAY (64764-108-20) / .68 mL in 1 SYRINGEMarketed from Sep 27, 2023 |
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)
- ENTYVIO Pen
- Generic name (nonproprietary)
- vedolizumab
- Active ingredients
- Vedolizumab — 108 mg/.68mL
- Dosage form
- Injection, Solution
- Route
- Subcutaneous
- Product type
- Prescription drug
- Marketing category
- BLA — Biologics License ApplicationApplication BLA 761133
- Marketing start
- Listing expires
- Other FDA classes
- Integrin Receptor Antagonists (Mechanism)
- Identifiers
- Product ID 64764-108_266293d6-dd28-4e38-81c2-4f518d95ef5dSPL ID 266293d6-dd28-4e38-81c2-4f518d95ef5dSPL set ID 6e94621c-1a95-4af9-98d1-52b9e6f1949cRxCUI 1538137, 1538142, 2667332, 2667336, 2667339, 2667342UNII 9RV78Q2002
- Pharmacologic class
- Integrin Receptor Antagonist
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.
- NDC on a medical claim
N464764010821followed by a unit qualifier and the quantityPackage 64764-0108-21. 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)
ENTYVIO is indicated in adults for the treatment of: moderately to severely active ulcerative colitis (UC). moderately to severely active Crohn's disease (CD). ENTYVIO is an integrin receptor antagonist indicated in adults for the treatment of: moderately to severely active ulcerative colitis (UC). ( 1 ) moderately to severely active Crohn's disease (CD). ( 1 )
Excerpt only. Read the full label for complete information.
Other NDCs under BLA 761133
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Entyviovedolizumab | Vedolizumab 108 mg/.68mL | Injection, SolutionSubcutaneous | Takeda Pharmaceuticals America, Inc. | 64764-107 |
- openFDA data updated
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Reference information only. Verify codes and billing rules against the applicable payer and official source before submitting a claim. How Med-Code handles data.