Gablofen Injection, Solution
NDC Package 66794-151-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Gablofen (baclofen injection) injection is baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, cerebral palsy, spinal cord injury/disease). This formulation utilizes a injection, solution delivery system. Marketed by Piramal Critical Care Inc, this product is identified by NDC 66794-151 and is authorized under FDA application NDA022462.

Identification & Billing

NDC Package Code
66794-151-01
Package Description
1 mL in 1 SYRINGE, GLASS
Product Code
11-Digit Billing Format
66794015101
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
1 ML
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Gablofen
Non-Proprietary Name
Baclofen Injection
Substance Name
Baclofen
Dosage Form
Injection, Solution - A liquid preparation containing one or more drug substances dissolved in a suitable solvent or mixture of mutually miscible solvents that is suitable for injection.
Administration Route
Intrathecal - Administration within the cerebrospinal fluid at any level of the cerebrospinal axis, including injection into the cerebral ventricles.
Active Ingredient(s)
Usage Information
Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, cerebral palsy, spinal cord injury/disease). It works by helping to relax the muscles. Baclofen injection is used by patients who do not respond to or who cannot tolerate the side effects of baclofen taken by mouth.

Regulatory & Marketing

Labeler Name
Piramal Critical Care Inc
Product Type
Human Prescription Drug
FDA Application #
NDA022462
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
04-01-2017
Listing Expiration
12-31-2027
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

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.

Source: PDAC
INJECTION, BACLOFEN, 50 MCG FOR INTRATHECAL TRIAL
HCPCS Dosage 50 MCG
Units / Pkg

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 66794-151-01 identifies a specific commercial package of 1 ml in 1 syringe, glass of Gablofen, a human prescription drug labeled by Piramal Critical Care Inc. This product is billed per "ML" milliliter and contains an estimated amount of 1 billable units per package. This injection, solution is formulated for intrathecal use and contains baclofen 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 Piramal Critical Care Inc on April 01, 2017. The current certification is valid through December 31, 2027.

What are the primary indications for this medication?

Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, cerebral palsy, spinal cord injury/disease). It works by helping to relax the muscles. Baclofen injection is used by patients who do not respond to or who cannot tolerate the side effects of baclofen taken by mouth.

How is this Piramal Critical Care Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 66794015101. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 1 total billable units per package. 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:

10-Digit Format (5-3-2)
66794-151-01
11-Digit CMS (5-4-2)
66794-0151-01

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.