Cyclophosphamide
NDC Package 51407-749-05
Package Information
Cyclophosphamide is used to treat various types of cancer. Marketed by Golden State Medical Supply, Inc., this product is identified by NDC 51407-749 and is authorized under FDA application NDA212501.
Identification & Billing
Clinical Specifications
Regulatory & Marketing
Hierarchy Structure
- 51407 - Golden State Medical Supply, Inc.
- 51407-749 - Cyclophosphamide
- 51407-749-05 - 1 VIAL in 1 CARTON / 5 mL in 1 VIAL
- 51407-749 - Cyclophosphamide
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 51407-749-05 identifies a specific commercial package of 1 vial in 1 carton / 5 ml in 1 vial of Cyclophosphamide, labeled by Golden State Medical Supply, Inc.. This is formulated for use and contains as the active substance.
Is this product currently listed with the FDA?
This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Golden State Medical Supply, Inc. on July 30, 2020. The current certification is valid through April 30, 2025.
What are the primary indications for this medication?
Cyclophosphamide is used to treat various types of cancer. It is a chemotherapy drug that works by slowing or stopping cell growth. Cyclophosphamide also works by decreasing your immune system's response to various diseases. It is used to treat a certain type of kidney disease in children after other treatments have not worked.
How is this Golden State Medical Supply, Inc. product billed for insurance claims?
For medical billing and reimbursement, this package follows the 11-digit CMS format: 51407074905. 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.
