NDC codes

FDA NDC Directory
Product NDC (as listed)73116-225Labeler and product segments. Claims need a package NDC.
Product NDC at billing width73116-0225Add 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
73116-225-287311602252828 CAPSULE in 1 PACKAGE (73116-225-28)Marketed from Sep 25, 2018
73116-225-567311602255656 CAPSULE in 1 PACKAGE (73116-225-56)Marketed from Sep 28, 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)
Copiktra
Generic name (nonproprietary)
duvelisib
Active ingredients
Duvelisib — 25 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 211155
Marketing start
Listing expires
Identifiers
Product ID 73116-225_30ff13f0-1e77-43de-99c9-c309834f1e63SPL ID 30ff13f0-1e77-43de-99c9-c309834f1e63SPL set ID e3c5ac56-e1f6-473a-bc73-687836534780RxCUI 2058514, 2058520, 2058523, 2058525UNII 610V23S0JI

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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N473116022528 followed by a unit qualifier and the quantity

Package 73116-0225-28. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

COPIKTRA is indicated for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) after at least two prior lines of systemic therapy. Limitations of Use: COPIKTRA is not indicated or recommended for the treatment of any patients with CLL or SLL as initial or second line treatment due to an increased risk of treatment-related mortality. COPIKTRA is a kinase inhibitor indicated for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) after at least two prior lines lines of systemic therapy. ( 1 ) Limitations of Use : COPIKTRA is not indicated …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 211155

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

FDA NDC Directory listings under NDA 211155
ProductStrengthForm · routeLabelerProduct NDC
CopiktraduvelisibDuvelisib 15 mg/1CapsuleOralSecura Bio, Inc73116-215

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