NDC codes

FDA NDC Directory
Product NDC (as listed)74676-5902Labeler and product segments. Claims need a package NDC.
Product NDC at billing width74676-5902Add 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
74676-5902-174676590201746765902011 KIT in 1 CARTON (74676-5902-1) * 2 mL in 1 VIAL, SINGLE-DOSE (74676-5902-0) * 2 mL in 1 SYRINGEMarketed from Jun 15, 2000

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Trelstar
Generic name (nonproprietary)
triptorelin pamoate
Dosage form
Kit
Labeler
Verity Pharmaceuticals Inc.NDC labeler code 74676
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020715
Marketing start
Listing expires
Identifiers
Product ID 74676-5902_ac43d5b2-3223-b955-2798-555d48497798SPL ID ac43d5b2-3223-b955-2798-555d48497798SPL set ID b1b84d62-a369-a4b7-5c41-dd1f553a18f3RxCUI 199821, 905053, 905057, 905059, 905062, 905064

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.

NDC on a medical claim

N474676590201 followed by a unit qualifier and the quantity

Package 74676-5902-01. 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)

TRELSTAR is indicated for the treatment of advanced prostate cancer [ see Clinical Studies (14) ]. TRELSTAR is a gonadotropin releasing hormone (GnRH) agonist indicated for the treatment of advanced prostate cancer. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 74676-5902

What is NDC 74676-5902?
74676-5902 is the product NDC for Trelstar (triptorelin pamoate) kit, listed with the FDA by Verity Pharmaceuticals Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Trelstar (Triptorelin pamoate).
Who is the labeler?
Verity Pharmaceuticals Inc., NDC labeler code 74676. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Trelstar?
2 other product NDCs are listed under this name. See all Trelstar NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Trelstar NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Trelstartriptorelin pamoate—KitVerity Pharmaceuticals Inc.74676-590674676-5906-01
Trelstartriptorelin pamoate—KitVerity Pharmaceuticals Inc.74676-590474676-5904-01

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