NDC codes

FDA NDC Directory
Product NDC (as listed)81284-411Labeler and product segments. Claims need a package NDC.
Product NDC at billing width81284-0411Add 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
81284-411-0581284041105812840411055 AMPULE in 1 CARTON (81284-411-05) / 1 mL in 1 AMPULE (81284-411-00)Marketed from Sep 30, 2021
81284-411-10812840411108128404111010 AMPULE in 1 CARTON (81284-411-10) / 1 mL in 1 AMPULE (81284-411-00)Marketed from Sep 30, 2021

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)
Dihydroergotamine Mesylate
Generic name (nonproprietary)
dihydroergotamine mesylate
Active ingredients
Dihydroergotamine mesylate — 1 mg/mL
Dosage form
Injection, Solution
Route
Intramuscular, Intravenous, Subcutaneous
Labeler
Provepharm Inc.NDC labeler code 81284
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 212046
Marketing start
Listing expires
Other FDA classes
Ergotamines (Chemical structure)
Identifiers
Product ID 81284-411_c3c6ccb7-6054-426c-8a56-d3c29dac13e2SPL ID c3c6ccb7-6054-426c-8a56-d3c29dac13e2SPL set ID 40b9ba9e-436e-444e-b078-01b12bb57ea7RxCUI 861672UNII 81AXN7R2QTUPC 0381284411059
Pharmacologic class
Ergotamine Derivative

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

N481284041105 followed by a unit qualifier and the quantity

Package 81284-0411-05. 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)

INDICATIONS AND USAGE Dihydroergotamine Mesylate Injection, USP is indicated for the acute treatment of migraine headaches with or without aura and the acute treatment of cluster headache episodes.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 81284-411

What is NDC 81284-411?
81284-411 is the product NDC for Dihydroergotamine Mesylate, Dihydroergotamine mesylate 1 mg/mL injection, solution, listed with the FDA by Provepharm Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dihydroergotamine Mesylate.
What is the active ingredient?
Dihydroergotamine mesylate.
Who is the labeler?
Provepharm Inc., NDC labeler code 81284. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Dihydroergotamine Mesylate?
10 other product NDCs are listed under this name. See all Dihydroergotamine Mesylate 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 Dihydroergotamine Mesylate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dihydroergotamine MesylateDihydroergotamine mesylate 4 mg/mLSpray, MeteredNasalSomerset Therapeutics, LLC70069-88070069-0880-08
Dihydroergotamine mesylateDihydroergotamine mesylate 4 mg/mLSprayNasalTrifluent Pharma, LLC73352-09673352-0096-19
dihydroergotamine mesylateDihydroergotamine mesylate 1 mg/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousBaxter Healthcare Corporation36000-30036000-0300-10
Dihydroergotamine MesylateDihydroergotamine mesylate 1 mg/mLInjectionIntramuscular, Intravenous, SubcutaneousGland Pharma Limited68083-46668083-0466-10
Dihydroergotamine mesylateDihydroergotamine mesylate 4 mg/mLSprayNasalAdvagen Pharma Ltd72888-09672888-0096-1972888-0096-34
Dihydroergotamine MesylateDihydroergotamine mesylate 1 mg/mLInjectionIntramuscular, Intravenous, SubcutaneousHikma Pharmaceuticals USA Inc.0143-915100143-9151-10
Dihydroergotamine MesylateDihydroergotamine mesylate 1 mg/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousMilla Pharmaceuticals Inc.71357-01371357-0013-0571357-0013-10
Dihydroergotamine MesylateDihydroergotamine mesylate 4 mg/mLSprayNasalHikma Pharmaceuticals USA Inc.24201-46324201-0463-08
Dihydroergotamine MesylateDihydroergotamine mesylate 1 mg/mLInjectionIntramuscular, Intravenous, SubcutaneousHikma Pharmaceuticals USA Inc.0143-927300143-9273-10
Dihydroergotamine MesylateDihydroergotamine mesylate 4 mg/mLSprayNasalOceanside Pharmaceuticals68682-35768682-0357-10

Other NDCs under ANDA 212046

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

FDA NDC Directory listings under ANDA 212046
ProductStrengthForm · routeLabelerProduct NDC
Dihydroergotamine MesylateDihydroergotamine mesylate 1 mg/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousMilla Pharmaceuticals Inc.71357-013

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