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  5. NDC Package Code: 30237-8900-6 Provenge

NDC Package 30237-8900-6 Provenge

Sipuleucel-t Injection 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:
30237-8900-6
Package Description:
1 BAG in 1 CARTON / 1 INJECTION in 1 BAG (30237-8900-5)
Product Code:
30237-8900
Proprietary Name:
Provenge
Non-Proprietary Name:
Sipuleucel-t
Substance Name:
Sipuleucel-t
Usage Information:
This medication is used to treat advanced prostate cancer. Sipuleucel-T is a type of vaccine created from your own immune system cells that works by causing your immune system to attack prostate cancer cells. This requires that you have a procedure to remove some of your white blood cells, which are used to prepare sipuleucel-T. Talk to your doctor about the risks and benefits of this treatment.
11-Digit NDC Billing Format:
30237890006
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
  • RxCUI: 997264 - sipuleucel-T 50,000,000 CELLS in 250 ML Injection
  • RxCUI: 997264 - 250 ML sipuleucel-T 200000 CELLS/ML Injection
  • RxCUI: 997264 - sipuleucel-T 50,000,000 CELLS per 250 ML Injection
  • RxCUI: 997267 - PROVENGE 50,000,000 CELLS in 250 ML Injection
  • RxCUI: 997267 - 250 ML sipuleucel-T 200000 CELLS/ML Injection [Provenge]
    • Product Type:
    Cellular Therapy
    Labeler Name:
    Dendreon Pharmaceuticals Llc
    Dosage Form:
    Injection - A sterile preparation intended for parenteral use; five distinct classes of injections exist as defined by the USP.
    Administration Route(s):
  • Intravenous - Administration within or into a vein or veins.
    • Active Ingredient(s):
  • SIPULEUCEL-T 50000000 1/1
    • Pharmacologic Class(es):
  • Autologous Cellular Immunotherapy - [EPC] (Established Pharmacologic Class)
  • Cell-mediated Immunity - [PE] (Physiologic Effect)
  • Cells, Cultured, Autologous - [EXT]
  • Leukocytes, Mononuclear - [CS]
    • Sample Package:
    No
    FDA Application Number:
    BLA125197
    Marketing Category:
    BLA - A product marketed under an approved Biologic License Application.
    Start Marketing Date:
    04-29-2010
    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 30237-8900-6 HCPCS crosswalk information with package details and bill units information.

    NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
    30237890006Q2043Sipuleucel-t auto cd54+Per infusion (minimum 50 million cells)250111

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 30237-8900-6?

    The NDC Packaged Code 30237-8900-6 is assigned to a package of 1 bag in 1 carton / 1 injection in 1 bag (30237-8900-5) of Provenge, a cellular therapy labeled by Dendreon Pharmaceuticals Llc. The product's dosage form is injection and is administered via intravenous form.

    Is NDC 30237-8900 included in the NDC Directory?

    Yes, Provenge with product code 30237-8900 is active and included in the NDC Directory. The product was first marketed by Dendreon Pharmaceuticals Llc on April 29, 2010 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 30237-8900-6?

    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 30237-8900-6?

    The 11-digit format is 30237890006. 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 5-4-1 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
    5-4-130237-8900-65-4-230237-8900-06