NDC codes

FDA NDC Directory
Product NDC (as listed)73555-500Labeler and product segments. Claims need a package NDC.
Product NDC at billing width73555-0500Add 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
73555-500-007355505000030 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (73555-500-00)Marketed from Nov 15, 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)
Revuforj
Generic name (nonproprietary)
revumenib
Active ingredients
Revumenib citrate — 25 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 218944
Marketing start
Listing expires
Other FDA classes
Menin Inhibitors (Mechanism)
Identifiers
Product ID 73555-500_76183831-b710-4be2-a6a7-9349dd501830SPL ID 76183831-b710-4be2-a6a7-9349dd501830SPL set ID 6eb3cdbc-0e74-477d-82d6-3bb172d3f63fRxCUI 2698331, 2698337, 2698339, 2698341, 2698343, 2698345UNII YL4RYN734DUPC 0300000000001
Pharmacologic class
Menin Inhibitor

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

N473555050000 followed by a unit qualifier and the quantity

Package 73555-0500-00. 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)

REVUFORJ is a menin inhibitor indicated for: the treatment of relapsed or refractory acute leukemia with a lysine methyltransferase 2A gene ( KMT2A ) translocation as determined by an FDA-authorized test in adult and pediatric patients 1 year and older. ( 1 ) the treatment of relapsed or refractory acute myeloid leukemia (AML) with a susceptible nucleophosmin 1 ( NPM1 ) mutation in adult and pediatric patients 1 year and older who have no satisfactory alternative treatment options. ( 1 ) Relapsed or Refractory Acute Leukemia REVUFORJ is indicated for the treatment of relapsed or refractory acute leukemia with a lysine methyltransferase 2A gene ( KMT2A ) translocation as determined by an FDA-…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 218944

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

FDA NDC Directory listings under NDA 218944
ProductStrengthForm · routeLabelerProduct NDC
RevuforjrevumenibRevumenib citrate 110 mg/1Tablet, Film coatedOralSyndax Pharmaceuticals, Inc.73555-501
RevuforjrevumenibRevumenib citrate 160 mg/1Tablet, Film coatedOralSyndax Pharmaceuticals, Inc.73555-502

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