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  5. NDC Package Code: 58406-455-04 Enbrel

NDC Package 58406-455-04 Enbrel

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. NDC HCPCS Crosswalk
    3. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

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:
58406-455-04
Package Description:
4 SYRINGE in 1 CARTON / .5 mL in 1 SYRINGE (58406-455-01)
Product Code:
58406-455
Proprietary Name:
Enbrel
Usage Information:
This medication is used alone or in combination with an immunosuppressant (such as methotrexate) to treat certain types of arthritis (such as rheumatoid, psoriatic, juvenile idiopathic, and ankylosing spondylitis). Some brands of this medication are also used to treat a skin condition called psoriasis. These conditions are caused by an overactive immune system (autoimmune disease). The immune system attacks the body's own healthy cells, causing inflammation in the joints and skin. Etanercept controls your body's defensive response by blocking the action of a certain natural substance (TNF) that is used by the immune system. Treatment decreases redness, itching and scaly patches in psoriasis as well as the pain, swelling and stiffness of joints in arthritis. This medication can stop the progression of disease and joint damage, resulting in improved daily functioning and quality of life. This medication treats but does not cure autoimmune diseases. Symptoms usually return within 1 month of stopping the medication.
11-Digit NDC Billing Format:
58406045504
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
Labeler Name:
Immunex Corporation
Sample Package:
No
FDA Application Number:
BLA103795
Marketing Category:
BLA - A product marketed under an approved Biologic License Application.
Start Marketing Date:
11-10-2005
End Marketing Date:
03-03-2025
Listing Expiration Date:
03-03-2025
Exclude Flag:
D
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 58406-455-04 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
58406045504J1438INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)25 MG0.51ML

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 58406-455-04?

The NDC Packaged Code 58406-455-04 is assigned to a package of 4 syringe in 1 carton / .5 ml in 1 syringe (58406-455-01) of Enbrel, labeled by Immunex Corporation. The product's dosage form is and is administered via form.

Is NDC 58406-455 included in the NDC Directory?

No, Enbrel with product code 58406-455 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Immunex Corporation on November 10, 2005 and its listing in the NDC Directory is set to expire on March 03, 2025 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 58406-455-04?

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 58406-455-04?

The 11-digit format is 58406045504. 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
5-3-258406-455-045-4-258406-0455-04