Follistim Aq
NDC Package 0052-0313-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Follistim Aq is follistim® AQ (follitropin beta injection) Cartridge is indicated:In Women for:. Marketed by Merck Sharp & Dohme Llc, this product is identified by NDC 0052-0313 and is authorized under FDA application BLA021211.

Identification & Billing

NDC Package Code
0052-0313-01
Package Description
1 KIT in 1 CARTON / 1 CARTRIDGE in 1 KIT / .42 mL in 1 CARTRIDGE
Product Code
0052-0313
11-Digit Billing Format
00052031301
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.

Clinical Specifications

Proprietary Name
Follistim Aq
Dosage Form
-
Usage Information
Follistim® AQ (follitropin beta injection) Cartridge is indicated:In Women for:

Regulatory & Marketing

Labeler Name
Merck Sharp & Dohme Llc
FDA Application #
BLA021211
Marketing Category
BLA - A product marketed under an approved Biologic License Application.
Start Marketing Date
03-24-2004
End Marketing Date
04-17-2026
Listing Expiration
04-17-2026
Exclude Flag
D
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Other Available Packages

The following commercial packages are registered under the same Product NDC (0052-0313). Click a package code to view its specific billing and regulatory data.

0052-0313-81
1 KIT in 1 CARTON / 1 CARTRIDGE in 1 KIT / .42 mL in 1 CARTRIDGE

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0052-0313-01 identifies a specific commercial package of 1 kit in 1 carton / 1 cartridge in 1 kit / .42 ml in 1 cartridge of Follistim Aq, labeled by Merck Sharp & Dohme Llc. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Merck Sharp & Dohme Llc on March 24, 2004. The current certification is valid through April 17, 2026.

How is this Merck Sharp & Dohme Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00052031301. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0052-0313-01
11-Digit CMS (5-4-2)
00052-0313-01

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.