NDC codes

FDA NDC Directory
Product NDC (as listed)67457-847Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67457-0847Add 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
67457-847-44674570847441 KIT in 1 CARTON (67457-847-44) * 20 mL in 1 VIAL, MULTI-DOSE (67457-845-50) * 20 mL in 1 VIAL (67457-846-20)Marketed from Nov 29, 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)
Ogivri
Generic name (nonproprietary)
trastuzumab
Dosage form
Kit
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 761074
Marketing start
Marketing end
Identifiers
Product ID 67457-847_b57e61b9-04b7-4d8b-b7c2-be56a060421bSPL ID b57e61b9-04b7-4d8b-b7c2-be56a060421b

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.

NDC on a medical claim

N467457084744 followed by a unit qualifier and the quantity

Package 67457-0847-44. 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

The FDA listing for this product does not reference a label (SPL) set.

Other NDCs under BLA 761074

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

FDA NDC Directory listings under BLA 761074
ProductStrengthForm · routeLabelerProduct NDC
Ogivritrastuzumab-dkstTrastuzumab 420 mg/20mLInjection, Powder, Lyophilized, For solutionIntravenousBiocon Biologics Inc.83257-003
Ogivritrastuzumab-dkstTrastuzumab 150 mg/7.4mLInjection, Powder, Lyophilized, For solutionIntravenousBiocon Biologics Inc.83257-001
Ogivritrastuzumab-dkstKitBiocon Biologics Inc.83257-004
OgivritrastuzumabTrastuzumab 150 mg/7.4mLInjection, Powder, Lyophilized, For solutionIntravenousMylan Institutional LLC67457-991

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