Prescription drug · NDA
Valchlor (mechlorethamine hydrochloride) NDC 69639-120
Mechlorethamine .012 g/60g · Gel · Topical · Helsinn Therapeutics (U.S.), Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69639-120-01 | 69639012001 | 1 TUBE in 1 CARTON (69639-120-01) / 60 g in 1 TUBEMarketed from Nov 8, 2018 |
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)
- Valchlor
- Generic name (nonproprietary)
- mechlorethamine hydrochloride
- Active ingredients
- Mechlorethamine — .012 g/60g
- Dosage form
- Gel
- Route
- Topical
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 202317
- Marketing start
- Listing expires
- Other FDA classes
- Alkylating Activity (Mechanism)
- Identifiers
- Product ID 69639-120_942707af-a16c-4a62-b733-103e0fac915eSPL ID 942707af-a16c-4a62-b733-103e0fac915eSPL set ID 6a52e4c2-6a9f-4ebb-bc77-046b4f8bcd57RxCUI 1437711, 1437713UNII 50D9XSG0VRUPC 0369639120016
- Pharmacologic class
- Alkylating Drug
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 HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N469639012001followed by a unit qualifier and the quantityPackage 69639-0120-01. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.