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  5. NDC Package Code: 67457-790-05 Levetiracetam

NDC Package 67457-790-05 Levetiracetam

Injection, Solution, Concentrate Intravenous - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

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

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:
67457-790-05
Package Description:
10 VIAL, SINGLE-DOSE in 1 CARTON / 5 mL in 1 VIAL, SINGLE-DOSE (67457-790-00)
Product Code:
67457-790
Proprietary Name:
Levetiracetam
Non-Proprietary Name:
Levetiracetam
Substance Name:
Levetiracetam
Usage Information:
Levetiracetam is used to treat seizures (epilepsy). It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have.
11-Digit NDC Billing Format:
67457079005
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
  • RxCUI: 647121 - levETIRAcetam 500 MG in 5 ML Injection
  • RxCUI: 647121 - 5 ML levetiracetam 100 MG/ML Injection
  • RxCUI: 647121 - levetiracetam 500 MG per 5 ML Injection
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Mylan Institutional Llc
    Dosage Form:
    Injection, Solution, Concentrate - A sterile preparation for parenteral use which, upon the addition of suitable solvents, yields a solution conforming in all respects to the requirements for Injections.
    Administration Route(s):
  • Intravenous - Administration within or into a vein or veins.
    • Active Ingredient(s):
  • LEVETIRACETAM 100 mg/mL
    • Pharmacologic Class(es):
  • Decreased Central Nervous System Disorganized Electrical Activity - [PE] (Physiologic Effect)
    • Sample Package:
    No
    FDA Application Number:
    ANDA203308
    Marketing Category:
    ANDA - A product marketed under an approved Abbreviated New Drug Application.
    Start Marketing Date:
    07-24-2017
    Listing Expiration Date:
    12-31-2024
    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 67457-790-05 HCPCS crosswalk information with package details and bill units information.

    NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
    67457079005J1953Levetiracetam injection10 MG51050500

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 67457-790-05?

    The NDC Packaged Code 67457-790-05 is assigned to a package of 10 vial, single-dose in 1 carton / 5 ml in 1 vial, single-dose (67457-790-00) of Levetiracetam, a human prescription drug labeled by Mylan Institutional Llc. The product's dosage form is injection, solution, concentrate and is administered via intravenous form.

    Is NDC 67457-790 included in the NDC Directory?

    Yes, Levetiracetam with product code 67457-790 is active and included in the NDC Directory. The product was first marketed by Mylan Institutional Llc on July 24, 2017 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 67457-790-05?

    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 67457-790-05?

    The 11-digit format is 67457079005. 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
    5-3-267457-790-055-4-267457-0790-05