NDC codes

FDA NDC Directory
Product NDC (as listed)69448-017Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69448-0017Add 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
69448-017-63694480017631 BLISTER PACK in 1 CARTON (69448-017-63) / 1 SYRINGE in 1 BLISTER PACK / .5 mL in 1 SYRINGEMarketed from Oct 14, 2024

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)
Imuldosa
Generic name (nonproprietary)
ustekinumab-srlf
Active ingredients
Ustekinumab-srlf45 mg/.5mL
Dosage form
Injection
Route
Subcutaneous
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 761364
Marketing start
Listing expires
Other FDA classes
Interleukin-12 Antagonists (Mechanism)Interleukin-23 Antagonists (Mechanism)
Identifiers
Product ID 69448-017_be75347b-ab5d-4104-b90e-7c7b1f46fbefSPL ID be75347b-ab5d-4104-b90e-7c7b1f46fbefSPL set ID 2539a6cf-0fe5-1565-e063-6294a90a3618RxCUI 2717067, 2717074, 2717078, 2717083, 2717085, 2717086UNII FU77B4U5Z0UPC 0369448017637, 0369448018634
Pharmacologic class
Interleukin-12 Antagonist; Interleukin-23 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

N469448001763 followed by a unit qualifier and the quantity

Package 69448-0017-63. 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)

IMULDOSA is a human interleukin-12 and -23 antagonist indicated for the treatment of: Adult patients with: moderate to severe plaque psoriasis in adults and pediatric patients 6 years of age and older who are candidates for phototherapy or systemic therapy. (1.1) active psoriatic arthritis in adult and pediatric patients 6 years of age and older. (1.2) moderately to severely active Crohn’s disease in adult patients. (1.3) moderately to severely active ulcerative colitis in adult patients. (1.4) 1.1 Plaque Psoriasis (PsO) IMULDOSA is indicated for the treatment of adults and pediatric patients 6 years of age and older with moderate to severe plaque psoriasis who are candidates for phototherap

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under BLA 761364

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

FDA NDC Directory listings under BLA 761364
ProductStrengthForm · routeLabelerProduct NDC
Imuldosaustekinumab-srlfUstekinumab-srlf 90 mg/mLInjectionSubcutaneousAccord BioPharma Inc.69448-018
Imuldosaustekinumab-srlfUstekinumab-srlf 130 mg/26mLInjectionIntravenousAccord BioPharma Inc.69448-019

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