NDC codes

FDA NDC Directory
Product NDC (as listed)72579-121Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72579-0121Add 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
72579-121-01725790121011 VIAL, GLASS in 1 CARTON (72579-121-01) / 10 mL in 1 VIAL, GLASSMarketed from Mar 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)
Tevimbra
Generic name (nonproprietary)
tislelizumab-jsgr
Active ingredients
Tislelizumab10 mg/mL
Dosage form
Injection, Solution, Concentrate
Route
Intravenous
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 761232
Marketing start
Listing expires
Other FDA classes
Programmed Death Receptor-1-directed Antibody Interactions (Mechanism)
Identifiers
Product ID 72579-121_d46bfb2e-44c4-4a86-8a8f-b38fb01ac4b6SPL ID d46bfb2e-44c4-4a86-8a8f-b38fb01ac4b6SPL set ID 08ef1e3e-496f-4b0b-94ee-fbba3cc1985aRxCUI 2677432, 2677439, 2747128, 2747129UNII 0KVO411B3N

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

N472579012101 followed by a unit qualifier and the quantity

Package 72579-0121-01. 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)

TEVIMBRA is a programmed death receptor-1 (PD-1)-blocking antibody indicated for: Esophageal Cancer in combination with platinum-containing chemotherapy for the first-line treatment of adults with unresectable or metastatic esophageal squamous cell carcinoma (ESCC) whose tumors express PD-L1 (≥1). ( 1.1 ) as a single agent in adults with unresectable or metastatic esophageal squamous cell carcinoma (ESCC) after prior systemic chemotherapy that did not include a PD-(L)1 inhibitor. ( 1.1 ) Gastric Cancer in combination with platinum and fluoropyrimidine-based chemotherapy in adults for the first line treatment of unresectable or metastatic HER2-negative gastric or gastroesophageal junction ade

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under BLA 761232

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

FDA NDC Directory listings under BLA 761232
ProductStrengthForm · routeLabelerProduct NDC
Tevimbratislelizumab-jsgrTislelizumab 10 mg/mLInjection, Solution, ConcentrateIntravenousBeOne Medicines USA, Inc.72579-125

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