Hemlibra Injection, Solution
NDC Package 50242-921-01
Package Information
Hemlibra (emicizumab) injection is a medication used by people with a certain inherited bleeding problem (hemophilia A) to help prevent or lessen how often you have bleeding problems. This formulation utilizes a injection, solution delivery system. Marketed by Genentech, Inc., this product is identified by NDC 50242-921 and is authorized under FDA application BLA761083.
Identification & Billing
- RxCUI: 1989799 - emicizumab-kxwh 30 MG in 1 ML Injection
- RxCUI: 1989799 - 1 ML emicizumab-kxwh 30 MG/ML Injection
- RxCUI: 1989799 - emicizumab-kxwh 30 MG per 1 ML Injection
- RxCUI: 1989804 - Hemlibra 30 MG in 1 ML Injection
- RxCUI: 1989804 - 1 ML emicizumab-kxwh 30 MG/ML Injection [Hemlibra]
Clinical Specifications
Regulatory & Marketing
Hierarchy Structure
- 50242 - Genentech, Inc.
- 50242-921 - Hemlibra
- 50242-921-01 - 1 VIAL, SINGLE-USE in 1 CARTON / .4 mL in 1 VIAL, SINGLE-USE
- 50242-921 - Hemlibra
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 full disclaimer at the bottom of this page.
Billing & HCPCS Mapping
To facilitate insurance claims and reimbursement, this drug package is mapped to specific HCPCS administrative codes. This crosswalk aligns clinical data with the billing standards used in ASP (Average Sales Price), AWP, and OPPS payment systems. Use the cards below to identify the correct billable units for provider claims.
Note for Medical Coders: These mappings are synthesized from various CMS datasets including OPPS, PrEP, and DAC (Data Analysis and Coding) contractors. Always confirm unit conversions against the current quarter's pricing files before final submission.
* Please review the full disclaimer at the bottom of this page.
Frequently Asked Questions
What is the distribution configuration for this product package?
The code 50242-921-01 identifies a specific commercial package of 1 vial, single-use in 1 carton / .4 ml in 1 vial, single-use of Hemlibra, a human prescription drug labeled by Genentech, Inc.. This injection, solution is formulated for subcutaneous use and contains emicizumab as the active substance.
Is this product currently listed with the FDA?
Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Genentech, Inc. on November 16, 2017. The current certification is valid through December 31, 2026.
What are the primary indications for this medication?
This medication is used by people with a certain inherited bleeding problem (hemophilia A) to help prevent or lessen how often you have bleeding problems. Emicizumab-kxwh belongs to a class of medications known as monoclonal antibodies. It works by helping your blood to clot normally, which helps prevent bleeding due to hemophilia A. Preventing bleeding can lessen symptoms such as painful swellings, joint pain, pain with movement, and difficulty walking far.
How is this Genentech, Inc. product billed for insurance claims?
For medical billing and reimbursement, this package follows the 11-digit CMS format: 50242092101. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.
11-Digit Code Conversion
Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:
Note: The zero is added to the Product segment to maintain the 5-4-2 structure.
