NDC 66621-0790-2 Anavip
Crotalidae Immune F(ab)2(equine) Injection, Powder, Lyophilized, For Solution Intravenous

Package Information
NDC HCPCS Crosswalk
Frequently Asked Questions

Package Information

The table below has 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	66621-0790-2
Package Description	1 VIAL in 1 CARTON / 10 mL in 1 VIAL (66621-0790-1)
Product Code	66621-0790
Proprietary Name What is the Proprietary Name? The proprietary name also known as the trade name is the name of the product chosen by the medication labeler for marketing purposes.	Anavip
Non-Proprietary Name What is the Non-Proprietary Name? The non-proprietary name is sometimes called the generic name. The generic name usually includes the active ingredient(s) of the product.	Crotalidae Immune F(ab)2(equine)
Substance Name What is the Substance Name? An active ingredient is the substance responsible for the medicinal effects of a product specified by the substance's molecular structure or if the molecular structure is not known, defined by an unambiguous definition that identifies the substance. Each active ingredient name is the preferred term of the UNII code submitted.	Pit Viper (crotalinae) Immune Globulin Antivenin (equine)
Usage Information Product Usage Information The drug use information is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate. This information is not individual medical advice and does not substitute for the advice of a health care professional. Always ask a health care professional for complete information about this product and your specific health needs.	None.
11-Digit NDC Billing Format NDC Format for Billing For insurance billing purposes the Centers for Medicare & Medicaid Services (CMS) created an 11 digit NDC derivative identifier. If the NDC Package code is less than 11 digits the code must be padded with leading zeros. The leading zeros must be added to the appropriate segment to create a 5-4-2 configuration.	66621079002
Billing Unit	EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Billable Units Calculator	1 EA
NDC to RxNorm Crosswalk	RxCUI: 2101275 - Crotalidae immune F(ab')2 (equine) 120 MG Injection RxCUI: 2101280 - Anavip 120 MG Injection RxCUI: 2101280 - Crotalidae immune F(ab')2 (equine) 120 MG Injection [Anavip]
Product Type What kind of product is this? Indicates the type of product, such as Human Prescription Drug or Human Over the Counter Drug. This data element matches the “Document Type” field of the Structured Product Listing.	Plasma Derivative
Labeler Name	Rare Disease Therapeutics, Inc
Dosage Form	Injection, Powder, Lyophilized, For Solution - A dosage form intended for the solution prepared by lyophilization ("freeze drying"), a process which involves the removal of water from products in the frozen state at extremely low pressures; this is intended for subsequent addition of liquid to create a solution that conforms in all respects to the requirements for Injections.
Administration Route(s)	Intravenous - Administration within or into a vein or veins.
Active Ingredient(s)	PIT VIPER (CROTALINAE) IMMUNE GLOBULIN ANTIVENIN (EQUINE) 12 mg/mL
Sample Package Sample Package? This field Indicates whether this package is a sample packaging or not.	No
Marketing Category What is the Marketing Category? Product types are broken down into several potential Marketing Categories, such as NDA/ANDA/BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.	BLA - A product marketed under an approved Biologic License Application.
FDA Application Number What is the FDA Application Number? This corresponds to the NDA, ANDA, or BLA number reported by the labeler for products which have the corresponding Marketing Category designated. If the designated Marketing Category is OTC Monograph Final or OTC Monograph Not Final, then the Application number will be the CFR citation corresponding to the appropriate Monograph (e.g. “part 341”). For unapproved drugs, this field will be null.	BLA125488
Start Marketing Date What is the Start Marketing Date? This is the date that the labeler indicates was the start of its marketing of the drug product.	05-06-2015
Listing Expiration Date What is the Listing Expiration Date? This is the date when the listing record will expire if not updated or certified by the product labeler.	12-31-2023
Exclude Flag What is the NDC Exclude Flag? This field indicates whether the product has been removed/excluded from the NDC Directory for failure to respond to FDA"s requests for correction to deficient or non-compliant submissions ("Y"), or because the listing certification is expired ("E"), or because the listing data was inactivated by FDA ("I"). Values = "Y", "N", "E", or "I".	N
NDC Code Structure	66621 - Rare Disease Therapeutics, Inc 66621-0790 - Anavip 66621-0790-2 - 1 VIAL in 1 CARTON / 10 mL in 1 VIAL (66621-0790-1)

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 66621-0790-2 HCPCS crosswalk information with package details and bill units information.

NDC Billing Code	HCPCS Code	HCPCS Code Desc.	Dosage	Package Size	Package Quantity	Billable Units	Billable Units / Pkg
66621079002	J0841	Inj crotalidae im f(ab')2 eq	120 MG	1	1	1	1

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 66621-0790-2?

The NDC Packaged Code 66621-0790-2 is assigned to a package of 1 vial in 1 carton / 10 ml in 1 vial (66621-0790-1) of Anavip, a plasma derivative labeled by Rare Disease Therapeutics, Inc. The product's dosage form is injection, powder, lyophilized, 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 66621-0790 included in the NDC Directory?

Yes, Anavip with product code 66621-0790 is active and included in the NDC Directory. The product was first marketed by Rare Disease Therapeutics, Inc on May 06, 2015 and its listing in the NDC Directory is set to expire on December 31, 2023 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 66621-0790-2?

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 66621-0790-2?

The 11-digit format is 66621079002. 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 Package Format	10-Digit Original Package Code	11-Digit Package Format	11-Digit Conversion Package Code
5-4-1	66621-0790-2	5-4-2	66621-0790-02

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