NDC Package 69794-050-50 Dojolvi

Triheptanoin Liquid Oral - View Billable Units, 11-Digit Format, RxNorm

Package Information
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:

69794-050-50

Package Description:

1 BOTTLE, GLASS in 1 CARTON / 500 mL in 1 BOTTLE, GLASS

Product Code:

69794-050

Proprietary Name:

Dojolvi

Non-Proprietary Name:

Triheptanoin

Substance Name:

Triheptanoin

Usage Information:

DOJOLVI is indicated as a source of calories and fatty acids for the treatment of pediatric and adult patients with molecularly confirmed long-chain fatty acid oxidation disorders (LC-FAOD).

11-Digit NDC Billing Format:

69794005050

Billing Unit:

ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.

NDC to RxNorm Crosswalk:

RxCUI: 2383555 - triheptanoin 8.3 kcal/mL (100 % ) Oral Solution

RxCUI: 2383555 - triheptanoin 1000 MG/ML Oral Solution

RxCUI: 2383555 - triheptanoin 100 % Oral Solution

RxCUI: 2383555 - triheptanoin 8.3 kcal/ML Oral Solution

RxCUI: 2383561 - DOJOLVI 8.3 kcal/mL (100 % ) Oral Solution

Product Type:

Human Prescription Drug

Labeler Name:

Ultragenyx Pharmaceutical Inc.

Dosage Form:

Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.

Administration Route(s):

Oral - Administration to or by way of the mouth.

Active Ingredient(s):

TRIHEPTANOIN .96 g/mL

Pharmacologic Class(es):

Medium-chain Triglyceride - [EPC] (Established Pharmacologic Class)

Triglycerides - [CS]

Sample Package:

FDA Application Number:

NDA213687

Marketing Category:

NDA - A product marketed under an approved New Drug Application.

Start Marketing Date:

07-01-2020

Listing Expiration Date:

12-31-2024

Exclude Flag:

Code Structure:

69794 - Ultragenyx Pharmaceutical Inc.
- 69794-050 - Dojolvi
  - 69794-050-50 - 1 BOTTLE, GLASS in 1 CARTON / 500 mL in 1 BOTTLE, GLASS

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.

Frequently Asked Questions

What is NDC 69794-050-50?

The NDC Packaged Code 69794-050-50 is assigned to a package of 1 bottle, glass in 1 carton / 500 ml in 1 bottle, glass of Dojolvi, a human prescription drug labeled by Ultragenyx Pharmaceutical Inc.. The product's dosage form is liquid and is administered via oral form.

Is NDC 69794-050 included in the NDC Directory?

Yes, Dojolvi with product code 69794-050 is active and included in the NDC Directory. The product was first marketed by Ultragenyx Pharmaceutical Inc. on July 01, 2020 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 69794-050-50?

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 69794-050-50?

The 11-digit format is 69794005050. 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 Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	69794-050-50	5-4-2	69794-0050-50

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