NDC Package 57970-100-01 Dalvance

Dalbavancin Injection, Powder, For Solution Intravenous - View Billable Units, 11-Digit Format, RxNorm

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:
57970-100-01
Package Description:
1 VIAL in 1 PACKAGE / 25 mL in 1 VIAL
Product Code:
Proprietary Name:
Dalvance
Non-Proprietary Name:
Dalbavancin
Substance Name:
Dalbavancin Hydrochloride
Usage Information:
This medication is used to treat serious bacterial infections of the skin. It works by stopping the growth of bacteria.
11-Digit NDC Billing Format:
57970010001
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
1 EA
NDC to RxNorm Crosswalk:
  • RxCUI: 1539243 - dalbavancin 500 MG Injection
  • RxCUI: 1539243 - dalbavancin (as dalbavancin hydrochloride) 500 MG Injection
  • RxCUI: 1539248 - Dalvance 500 MG Injection
  • RxCUI: 1539248 - dalbavancin 500 MG Injection [Dalvance]
  • Product Type:
    Human Prescription Drug
    Labeler Name:
    Allergan, Inc.
    Dosage Form:
    Injection, Powder, For Solution - A sterile preparation intended for reconstitution to form a solution for parenteral use.
    Administration Route(s):
  • Intravenous - Administration within or into a vein or veins.
  • Sample Package:
    No
    FDA Application Number:
    NDA021883
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    05-23-2014
    Listing Expiration Date:
    12-31-2025
    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 57970-100-01 HCPCS crosswalk information with package details and bill units information.

    NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
    57970010001J0875Injection, dalbavancin5 MG11100100

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 57970-100-01?

    The NDC Packaged Code 57970-100-01 is assigned to a package of 1 vial in 1 package / 25 ml in 1 vial of Dalvance, a human prescription drug labeled by Allergan, Inc.. The product's dosage form is injection, powder, for solution and is administered via intravenous form.This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package.

    Is NDC 57970-100 included in the NDC Directory?

    Yes, Dalvance with product code 57970-100 is active and included in the NDC Directory. The product was first marketed by Allergan, Inc. on May 23, 2014 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 57970-100-01?

    The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 1.

    What is the 11-digit format for NDC 57970-100-01?

    The 11-digit format is 57970010001. 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
    5-3-257970-100-015-4-257970-0100-01