NDC codes

FDA NDC Directory
Product NDC (as listed)65649-551Labeler and product segments. Claims need a package NDC.
Product NDC at billing width65649-0551Add 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
65649-551-0265649055102656490551021 VIAL, SINGLE-DOSE in 1 CARTON (65649-551-02) / .6 mL in 1 VIAL, SINGLE-DOSEMarketed from Apr 24, 2008
65649-551-0365649055103656490551037 BLISTER PACK in 1 CARTON (65649-551-03) / 1 SYRINGE in 1 BLISTER PACK / .6 mL in 1 SYRINGEMarketed from Apr 24, 2008
65649-551-0765649055107656490551071 BLISTER PACK in 1 CARTON (65649-551-07) / 1 SYRINGE in 1 BLISTER PACK / .6 mL in 1 SYRINGEMarketed from Apr 24, 2008

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)
Relistor
Generic name (nonproprietary)
methylnaltrexone bromide
Active ingredients
Methylnaltrexone bromide — 12 mg/.6mL
Dosage form
Injection, Solution
Route
Subcutaneous
Labeler
Salix Pharmaceuticals, Inc.NDC labeler code 65649
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021964
Marketing start
Listing expires
Other FDA classes
Opioid Antagonists (Mechanism)Quaternary Ammonium Compounds (Chemical structure)
Identifiers
Product ID 65649-551_9db15b8c-2928-4b75-a33b-548416afc8c9SPL ID 9db15b8c-2928-4b75-a33b-548416afc8c9SPL set ID c488fb7c-0a5b-487c-b452-996809d1cb99RxCUI 979113, 979115, 1244060, 1244062, 1244063, 1244064, 1801514, 1801519UNII RFO6IL3D3M
Pharmacologic class
Opioid 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.

How CPT relates to drug billing

NDC on a medical claim

N465649055102 followed by a unit qualifier and the quantity

Package 65649-0551-02. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

• RELISTOR is an opioid antagonist. RELISTOR tablets and RELISTOR injection are indicated for the treatment of opioid-induced constipation (OIC) in adults with chronic non-cancer pain, including patients with chronic pain related to prior cancer or its treatment who do not require frequent (e.g., weekly) opioid dosage escalation. ( 1.1 ) • RELISTOR injection is indicated for the treatment of OIC in adults with advanced illness or pain caused by active cancer who require opioid dosage escalation for palliative care. ( 1.2 ) 1.1 Opioid-Induced Constipation in Adult Patients with Chronic Non-Cancer Pain RELISTOR tablets and RELISTOR injection are indicated for the treatment of opioid-induced co…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 65649-551

What is NDC 65649-551?
65649-551 is the product NDC for Relistor (methylnaltrexone bromide), Methylnaltrexone bromide 12 mg/.6mL injection, solution, listed with the FDA by Salix Pharmaceuticals, Inc.. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Relistor (Methylnaltrexone bromide).
What is the active ingredient?
Methylnaltrexone bromide.
Who is the labeler?
Salix Pharmaceuticals, Inc., NDC labeler code 65649. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Relistor?
2 other product NDCs are listed under this name. See all Relistor 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 Relistor NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Relistormethylnaltrexone bromideMethylnaltrexone bromide 150 mg/1TabletOralSalix Pharmaceuticals, Inc.65649-15065649-0150-0665649-0150-90
Relistormethylnaltrexone bromideMethylnaltrexone bromide 8 mg/.4mLInjection, SolutionSubcutaneousSalix Pharmaceuticals, Inc.65649-55265649-0552-04

Other NDCs under NDA 021964

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

FDA NDC Directory listings under NDA 021964
ProductStrengthForm · routeLabelerProduct NDC
Relistormethylnaltrexone bromideMethylnaltrexone bromide 8 mg/.4mLInjection, SolutionSubcutaneousSalix Pharmaceuticals, Inc.65649-552

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