NDC codes

FDA NDC Directory
Product NDC (as listed)67184-0503Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67184-0503Add 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
67184-0503-167184050301671840503011 VIAL in 1 CARTON (67184-0503-1) / 4 mL in 1 VIALMarketed from May 25, 2022

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Pemetrexed
Generic name (nonproprietary)
pemetrexed disodium
Active ingredients
Pemetrexed disodium hemipentahydrate — 100 mg/4mL
Dosage form
Injection, Powder, Lyophilized, For solution
Route
Intravenous
Labeler
Qilu Pharmaceutical Co., Ltd.NDC labeler code 67184
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204890
Marketing start
Listing expires
Other FDA classes
Folic Acid Metabolism Inhibitors (Mechanism)
Identifiers
Product ID 67184-0503_0dc735ab-c4c9-4e19-bb80-8a439be7208cSPL ID 0dc735ab-c4c9-4e19-bb80-8a439be7208cSPL set ID 46a9b89d-7135-4e0c-b8e4-52580554769bRxCUI 1728072, 1728077UNII F4GSH45R4C
Pharmacologic class
Folate Analog Metabolic Inhibitor

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

N467184050301 followed by a unit qualifier and the quantity

Package 67184-0503-01. 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 .

Indications (excerpt from the label)

Pemetrexed for Injection is a folate analog metabolic inhibitor indicated: in combination with pembrolizumab and platinum chemotherapy, for the initial treatment of patients with metastatic non-squamous NSCLC, with no EGFR or ALK genomic tumor aberrations. ( 1.1 ) in combination with cisplatin for the initial treatment of patients with locally advanced or metastatic, non-squamous, non-small cell lung cancer (NSCLC). ( 1.1 ) as a single agent for the maintenance treatment of patients with locally advanced or metastatic, non-squamous NSCLC whose disease has not progressed after four cycles of platinum-based first-line chemotherapy. ( 1.1 ) as a single agent for the treatment of patients with r…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67184-0503

What is NDC 67184-0503?
67184-0503 is the product NDC for Pemetrexed (pemetrexed disodium), Pemetrexed disodium hemipentahydrate 100 mg/4mL injection, powder, lyophilized, for solution, listed with the FDA by Qilu Pharmaceutical Co., Ltd.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pemetrexed (Pemetrexed disodium).
What is the active ingredient?
Pemetrexed disodium hemipentahydrate.
Who is the labeler?
Qilu Pharmaceutical Co., Ltd., NDC labeler code 67184. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pemetrexed?
53 other product NDCs are listed under this name. See all Pemetrexed 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 Pemetrexed NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Pemetrexedpemetrexed disodiumPemetrexed disodium heptahydrate 500 mg/20mLInjection, Powder, Lyophilized, For solutionIntravenousSomerset Therapeutics LLC70069-83570069-0835-01
Pemetrexedpemetrexed disodiumPemetrexed disodium heptahydrate 100 mg/4mLInjection, Powder, Lyophilized, For solutionIntravenousSomerset Therapeutics LLC70069-83470069-0834-01
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 500 mg/20mLInjection, Powder, Lyophilized, For solutionIntravenousSagent Pharmaceuticals25021-26125021-0261-50
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 100 mg/4.2mLInjection, Powder, Lyophilized, For solutionIntravenousSagent Pharmaceuticals25021-26025021-0260-10
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 100 mg/10mLInjection, Powder, Lyophilized, For solutionIntravenousNorthStar RxLLC72603-32572603-0325-01
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 500 mg/50mLInjection, Powder, Lyophilized, For solutionIntravenousNorthStar RxLLC72603-42572603-0425-01
PemetrexedPemetrexed disodium hemipentahydrate 100 mg/1Injection, Powder, For solutionIntravenousSolco Healthcare US, LLC43547-63243547-0632-01
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 100 mg/4mLInjection, Powder, Lyophilized, For solutionIntravenousCamber Pharmaceuticals, Inc.31722-33631722-0336-31
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 500 mg/20mLInjection, Powder, Lyophilized, For solutionIntravenousCamber Pharmaceuticals, Inc.31722-33731722-0337-31
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 500 mg/50mLInjectionIntravenousShilpa Medicare Limited63759-304963759-3049-01

All 54 Pemetrexed NDCs

Other NDCs under ANDA 204890

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

FDA NDC Directory listings under ANDA 204890
ProductStrengthForm · routeLabelerProduct NDC
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 100 mg/4.2mLInjection, Powder, Lyophilized, For solutionIntravenousSagent Pharmaceuticals25021-260
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 500 mg/20mLInjection, Powder, Lyophilized, For solutionIntravenousSagent Pharmaceuticals25021-261
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 500 mg/20mLInjection, Powder, Lyophilized, For solutionIntravenousQilu Pharmaceutical Co., Ltd.67184-0504
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 100 mg/4mLInjection, Powder, Lyophilized, For solutionIntravenousBluePoint Laboratories68001-538
Pemetrexedpemetrexed disodiumPemetrexed disodium hemipentahydrate 500 mg/20mLInjection, Powder, Lyophilized, For solutionIntravenousBluePoint Laboratories68001-539

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