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  5. NDC Package Code: 10122-502-01 Revcovi

NDC Package 10122-502-01 Revcovi

Elapegademase-lvlr Injection Intramuscular - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. 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:
10122-502-01
Package Description:
1 VIAL in 1 CARTON / 1.5 mL in 1 VIAL
Product Code:
10122-502
Proprietary Name:
Revcovi
Non-Proprietary Name:
Elapegademase-lvlr
Substance Name:
Elapegademase
Usage Information:
Elapegademase-lvlr is used to treat a certain inherited immune system disorder, adenosine deaminase severe combined immune deficiency (ADA-SCID). In this condition, the immune system does not work normally to fight infections. People with this disorder tend to get repeated infections that can be very serious or life-threatening. Elapegademase-lvlr is a man-made form of a substance made in your body (adenosine deaminase). It helps increase the number of blood cells that prevent and fight infection (lymphocytes).
11-Digit NDC Billing Format:
10122050201
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
  • RxCUI: 2059223 - elapegademase-lvlr 2.4 MG in 1.5 ML Injection
  • RxCUI: 2059223 - 1.5 ML elapegademase-lvlr 1.6 MG/ML Injection
  • RxCUI: 2059223 - elapegademase-lvlr 2.4 MG per 1.5 ML Injection
  • RxCUI: 2059228 - Recovi 2.4 MG in 1.5 ML Injection
  • RxCUI: 2059228 - 1.5 ML elapegademase-lvlr 1.6 MG/ML Injection [Revcovi]
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Chiesi Usa, Inc.
    Dosage Form:
    Injection - A sterile preparation intended for parenteral use; five distinct classes of injections exist as defined by the USP.
    Administration Route(s):
  • Intramuscular - Administration within a muscle.
    • Active Ingredient(s):
  • ELAPEGADEMASE 1.6 mg/mL
    • Sample Package:
    No
    FDA Application Number:
    BLA761092
    Marketing Category:
    BLA - A product marketed under an approved Biologic License Application.
    Start Marketing Date:
    10-05-2018
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    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.

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 10122-502-01?

    The NDC Packaged Code 10122-502-01 is assigned to a package of 1 vial in 1 carton / 1.5 ml in 1 vial of Revcovi, a human prescription drug labeled by Chiesi Usa, Inc.. The product's dosage form is injection and is administered via intramuscular form.

    Is NDC 10122-502 included in the NDC Directory?

    Yes, Revcovi with product code 10122-502 is active and included in the NDC Directory. The product was first marketed by Chiesi Usa, Inc. on October 05, 2018 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 10122-502-01?

    The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.

    What is the 11-digit format for NDC 10122-502-01?

    The 11-digit format is 10122050201. 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 Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-210122-502-015-4-210122-0502-01