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  5. NDC Package Code: 74676-5902-1 Trelstar

NDC Package 74676-5902-1 Trelstar

Triptorelin Pamoate Kit - 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:
74676-5902-1
Package Description:
1 KIT in 1 CARTON * 2 mL in 1 VIAL, SINGLE-DOSE (74676-5902-0) * 2 mL in 1 SYRINGE
Product Code:
74676-5902
Proprietary Name:
Trelstar
Non-Proprietary Name:
Triptorelin Pamoate
Usage Information:
Triptorelin is used to treat advanced prostate cancer in men. It is not a cure. Most types of prostate cancer need the male hormone testosterone to grow and spread. Triptorelin works by reducing the amount of testosterone that the body makes. This effect helps slow or stop the growth of cancer cells and helps relieve symptoms such as painful/difficult urination. This medication is similar to a natural substance made by the body (luteinizing hormone releasing hormone-LHRH). Talk to your doctor about the risks and benefits of treatment.
11-Digit NDC Billing Format:
74676590201
NDC to RxNorm Crosswalk:
  • RxCUI: 199821 - triptorelin 3.75 MG Injection
  • RxCUI: 905053 - triptorelin 22.5 MG Injection
  • RxCUI: 905053 - triptorelin pamoate 22.5 MG Injection
  • RxCUI: 905057 - Trelstar 22.5 MG Injection
  • RxCUI: 905057 - triptorelin 22.5 MG Injection [Trelstar]
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Verity Pharmaceuticals Inc.
    Dosage Form:
    Kit - A packaged collection of related material.
    Sample Package:
    No
    FDA Application Number:
    NDA020715
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    06-15-2000
    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 74676-5902-1 HCPCS crosswalk information with package details and bill units information.

    NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
    74676590201J3315Triptorelin pamoate3.75 MG1111

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 74676-5902-1?

    The NDC Packaged Code 74676-5902-1 is assigned to a package of 1 kit in 1 carton * 2 ml in 1 vial, single-dose (74676-5902-0) * 2 ml in 1 syringe of Trelstar, a human prescription drug labeled by Verity Pharmaceuticals Inc.. The product's dosage form is kit and is administered via form.

    Is NDC 74676-5902 included in the NDC Directory?

    Yes, Trelstar with product code 74676-5902 is active and included in the NDC Directory. The product was first marketed by Verity Pharmaceuticals Inc. on June 15, 2000 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 11-digit format for NDC 74676-5902-1?

    The 11-digit format is 74676590201. 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 Format10-Digit Original Code11-Digit Format11-Digit Code
    5-4-174676-5902-15-4-274676-5902-01