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  5. NDC Package Code: 25208-001-04 Aggrastat

NDC Package 25208-001-04 Aggrastat

Tirofiban Injection, Solution Intravenous - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. NDC HCPCS Crosswalk
    3. 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:
25208-001-04
Package Description:
1 VIAL, GLASS in 1 CARTON / 15 mL in 1 VIAL, GLASS
Product Code:
25208-001
Proprietary Name:
Aggrastat
Non-Proprietary Name:
Tirofiban
Substance Name:
Tirofiban Hydrochloride
Usage Information:
AGGRASTAT is indicated to reduce the rate of thrombotic cardiovascular events (combined endpoint of death, myocardial infarction, or refractory ischemia/repeat cardiac procedure) in patients with non-ST elevation acute coronary syndrome (NSTE-ACS).
11-Digit NDC Billing Format:
25208000104
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
  • RxCUI: 1737466 - tirofiban 5 MG in 100 ML Injection
  • RxCUI: 1737466 - 100 ML tirofiban 0.05 MG/ML Injection
  • RxCUI: 1737466 - tirofiban (as hydrochloride) 5 MG per 100 ML Injection
  • RxCUI: 1737466 - tirofiban 50 MCG per 1 ML Injection
  • RxCUI: 1737468 - AGGRASTAT 5 MG in 100 ML Injection
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Medicure International Inc
    Dosage Form:
    Injection, Solution - A liquid preparation containing one or more drug substances dissolved in a suitable solvent or mixture of mutually miscible solvents that is suitable for injection.
    Administration Route(s):
  • Intravenous - Administration within or into a vein or veins.
    • Active Ingredient(s):
  • TIROFIBAN HYDROCHLORIDE 3.75 mg/15mL
    • Pharmacologic Class(es):
  • Decreased Platelet Aggregation - [PE] (Physiologic Effect)
  • Platelet Aggregation Inhibitor - [EPC] (Established Pharmacologic Class)
    • Sample Package:
    No
    FDA Application Number:
    NDA020912
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    10-15-2016
    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.

    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 25208-001-04 HCPCS crosswalk information with package details and bill units information.

    NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
    25208000104J3246Tirofiban hcl0.25 MG1511515

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 25208-001-04?

    The NDC Packaged Code 25208-001-04 is assigned to a package of 1 vial, glass in 1 carton / 15 ml in 1 vial, glass of Aggrastat, a human prescription drug labeled by Medicure International Inc. The product's dosage form is injection, solution and is administered via intravenous form.

    Is NDC 25208-001 included in the NDC Directory?

    Yes, Aggrastat with product code 25208-001 is active and included in the NDC Directory. The product was first marketed by Medicure International Inc on October 15, 2016 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 25208-001-04?

    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 25208-001-04?

    The 11-digit format is 25208000104. 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
    5-3-225208-001-045-4-225208-0001-04