NDC 0074-3641-03 Lupron Depot
Leuprolide Acetate Kit

Package Information

The NDC Code 0074-3641-03 is assigned to a package of 1 kit in 1 carton * 1 ml in 1 syringe * 1 ml in 1 packet of Lupron Depot, a human prescription drug labeled by Abbvie Inc.. The product's dosage form is kit and is administered via form.

Field Name Field Value
NDC Code 0074-3641-03
Package Description 1 KIT in 1 CARTON * 1 mL in 1 SYRINGE * 1 mL in 1 PACKET
Product Code 0074-3641
Proprietary Name What is the Proprietary Name?
The proprietary name also known as the trade name is the name of the product chosen by the medication labeler for marketing purposes.
Lupron Depot
Non-Proprietary Name What is the Non-Proprietary Name?
The non-proprietary name is sometimes called the generic name. The generic name usually includes the active ingredient(s) of the product.
Leuprolide Acetate
Usage Information Product Usage Information
The drug use information is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate. This information is not individual medical advice and does not substitute for the advice of a health care professional. Always ask a health care professional for complete information about this product and your specific health needs.
Leuprolide is used to treat advanced prostate cancer in men. It is not a cure. Most types of prostate cancer need the male hormone testosterone to grow and spread. Leuprolide works by reducing the amount of testosterone that the body makes. This helps slow or stop the growth of cancer cells and helps relieve symptoms such as painful/difficult urination. Talk to your doctor about the risks and benefits of treatment.
11-Digit NDC Billing Format NDC Format for Billing
For insurance billing purposes the Centers for Medicare & Medicaid Services (CMS) created an 11 digit NDC derivative identifier. If the NDC Package code is less than 11 digits the code must be padded with leading zeros. The leading zeros must be added to the appropriate segment to create a 5-4-2 configuration.
00074364103
Billing Unit EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NADAC Wholesale Price per Unit National Average Drug Acquisition Cost (NADAC)
The National Average Drug Acquisition Cost (NADAC) wholesale price per unit for NDC 0074-3641-03 is $1505.47858 and is up-to-date as of 11-23-2022. This product is billed for "EA" each discreet unit and contains an estimated amount of billable units per package. The estimated wholesale price for the this package based on the lastest NADAC pricing survey is $
$1505.47858
NDC to RxNorm Crosswalk
  • RxCUI: 1115457 - leuprolide acetate 3.75 MG in 1 ML (1 month) Prefilled Syringe
  • RxCUI: 1115457 - 1 ML leuprolide acetate 3.75 MG/ML Prefilled Syringe
  • RxCUI: 1115457 - leuprolide acetate 3.75 MG per 1 ML (1 month) Prefilled Syringe
  • RxCUI: 1115457 - leuprolide acetate 3.75 MG per 1 ML Prefilled Syringe
  • RxCUI: 1115459 - Lupron Depot 3.75 MG in 1 ML (1 month) Prefilled Syringe
  • Product Type What kind of product is this?
    Indicates the type of product, such as Human Prescription Drug or Human Over the Counter Drug. This data element matches the “Document Type” field of the Structured Product Listing.
    Human Prescription Drug
    Labeler Name Abbvie Inc.
    Dosage Form Kit - A packaged collection of related material.
    Sample Package Sample Package?
    This field Indicates whether this package is a sample packaging or not.
    No
    Marketing Category What is the Marketing Category?
    Product types are broken down into several potential Marketing Categories, such as NDA/ANDA/BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.
    NDA - A product marketed under an approved New Drug Application.
    FDA Application Number What is the FDA Application Number?
    This corresponds to the NDA, ANDA, or BLA number reported by the labeler for products which have the corresponding Marketing Category designated. If the designated Marketing Category is OTC Monograph Final or OTC Monograph Not Final, then the Application number will be the CFR citation corresponding to the appropriate Monograph (e.g. “part 341”). For unapproved drugs, this field will be null.
    NDA020011
    Start Marketing Date What is the Start Marketing Date?
    This is the date that the labeler indicates was the start of its marketing of the drug product.
    10-22-1990
    Listing Expiration Date What is the Listing Expiration Date?
    This is the date when the listing record will expire if not updated or certified by the product labeler.
    12-31-2023
    Exclude Flag What is the NDC Exclude Flag?
    This field indicates whether the product has been removed/excluded from the NDC Directory for failure to respond to FDA"s requests for correction to deficient or non-compliant submissions ("Y"), or because the listing certification is expired ("E"), or because the listing data was inactivated by FDA ("I"). Values = "Y", "N", "E", or "I".
    N
    NDC Code Structure

    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.

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    NDC HCPCS Crosswalk

    This crosswalk is intended to help the public understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes.

    NDC 0074-3641-03 HCPCS crosswalk information with package details and bill units information.

    NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
    00074364103J1950Leuprolide acetate /3.75 mg3.75 MG1111

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    Other Product Packages

    The following packages are also available for Lupron Depot with product NDC 0074-3641.

    NDC Package CodePackage Description
    0074-3641-711 KIT in 1 CARTON * 1 mL in 1 SYRINGE * 1 mL in 1 PACKET

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