NDC Package 10122-141-02 Retavase

Reteplase Kit - View Billable Units, 11-Digit Format, RxNorm

Package Information
NDC HCPCS Crosswalk
Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:

10122-141-02

Package Description:

1 KIT in 1 BOX * 10 mL in 1 VIAL, SINGLE-USE * 10 mL in 1 SYRINGE (10122-142-01)

Product Code:

10122-141

Proprietary Name:

Retavase

Non-Proprietary Name:

Reteplase

Usage Information:

RETAVASE is indicated for use in acute ST-elevation myocardial infarction (STEMI) to reduce the risk of death and heart failure. Limitation of Use: The risk of stroke may outweigh the benefit produced by thrombolytic therapy in patients whose STEMI puts them at low risk for death or heart failure.

11-Digit NDC Billing Format:

10122014102

Billing Unit:

EA - Billing unit of "each" is used when the product is dispensed in discreet units.

NDC to RxNorm Crosswalk:

RxCUI: 763138 - reteplase 10 UNT Injection

RxCUI: 763141 - Retavase 10 UNT Injection

RxCUI: 763141 - reteplase 10 UNT Injection [Retavase]

Product Type:

Human Prescription Drug

Labeler Name:

Chiesi Usa, Inc.

Dosage Form:

Kit - A packaged collection of related material.

Sample Package:

FDA Application Number:

BLA103786

Marketing Category:

BLA - A product marketed under an approved Biologic License Application.

Start Marketing Date:

10-30-1996

Listing Expiration Date:

12-31-2024

Exclude Flag:

Code Structure:

10122 - Chiesi Usa, Inc.
- 10122-141 - Retavase
  - 10122-141-02 - 1 KIT in 1 BOX * 10 mL in 1 VIAL, SINGLE-USE * 10 mL in 1 SYRINGE (10122-142-01)

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 disclaimer below.

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 10122-141-02 HCPCS crosswalk information with package details and bill units information.

NDC Billing Code	HCPCS Code	HCPCS Code Desc.	Dosage	Package Size	Package Quantity	Billable Units	Billable Units / Pkg
10122014102	J2993	Reteplase injection	18.1 MG	1	2	1	2

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 10122-141-02?

The NDC Packaged Code 10122-141-02 is assigned to a package of 1 kit in 1 box * 10 ml in 1 vial, single-use * 10 ml in 1 syringe (10122-142-01) of Retavase, a human prescription drug labeled by Chiesi Usa, Inc.. The product's dosage form is kit and is administered via form.

Is NDC 10122-141 included in the NDC Directory?

Yes, Retavase with product code 10122-141 is active and included in the NDC Directory. The product was first marketed by Chiesi Usa, Inc. on October 30, 1996 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 10122-141-02?

The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units.

What is the 11-digit format for NDC 10122-141-02?

The 11-digit format is 10122014102. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	10122-141-02	5-4-2	10122-0141-02

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