NDC Package 72171-505-01 Gamifant

View Billable Units, 11-Digit Format, RxNorm

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:
72171-505-01
Package Description:
1 VIAL, SINGLE-USE in 1 CARTON / 10 mL in 1 VIAL, SINGLE-USE
Product Code:
Proprietary Name:
Gamifant
Usage Information:
This medication is used to treat a certain immune system problem (hemophagocytic lymphohistiocytosis - HLH).
11-Digit NDC Billing Format:
72171050501
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Labeler Name:
Novimmune Sa
Sample Package:
No
FDA Application Number:
BLA761107
Marketing Category:
BLA - A product marketed under an approved Biologic License Application.
Start Marketing Date:
11-20-2018
End Marketing Date:
11-30-2021
Listing Expiration Date:
11-30-2021
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 72171-505-01 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
72171050501J9210INJECTION, EMAPALUMAB-LZSG, 1 MG1 MG10ML

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 72171-505-01?

The NDC Packaged Code 72171-505-01 is assigned to a package of 1 vial, single-use in 1 carton / 10 ml in 1 vial, single-use of Gamifant, labeled by Novimmune Sa. The product's dosage form is and is administered via form.

Is NDC 72171-505 included in the NDC Directory?

No, Gamifant with product code 72171-505 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Novimmune Sa on November 20, 2018 and its listing in the NDC Directory is set to expire on November 30, 2021 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 72171-505-01?

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 72171-505-01?

The 11-digit format is 72171050501. 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
5-3-272171-505-015-4-272171-0505-01