Krystexxa Injection, Solution
NDC Package 75987-080-10

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. NDC HCPCS Crosswalk
    3. Frequently Asked Questions

Package Information

Krystexxa (pegloticase) injection is pegloticase is used to treat gout which has not responded to the usual treatments. This formulation utilizes a injection, solution delivery system. Marketed by Horizon Therapeutics Usa, Inc., this product is identified by NDC 75987-080 and is authorized under FDA application BLA125293.

Identification & Billing

NDC Package Code
75987-080-10
Package Description
1 VIAL in 1 CARTON / 1 mL in 1 VIAL
Product Code
75987-080
11-Digit Billing Format
75987008010
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Krystexxa
Non-Proprietary Name
Pegloticase
Substance Name
Pegloticase
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
Intravenous - Administration within or into a vein or veins.
Active Ingredient(s)
PEGLOTICASE 8 mg/mL
Pharmacologic Class
Usage Information
Pegloticase is used to treat gout which has not responded to the usual treatments. It works by lowering high levels of uric acid in your body. Increased uric acid in your body can cause gout.

Regulatory & Marketing

Labeler Name
Horizon Therapeutics Usa, Inc.
Product Type
Human Prescription Drug
FDA Application #
BLA125293
Marketing Category
BLA - A product marketed under an approved Biologic License Application.
Start Marketing Date
09-14-2010
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.

J2507
Source: PDAC
INJECTION, PEGLOTICASE, 1 MG
HCPCS Dosage 1 MG
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 75987-080-10 identifies a specific commercial package of 1 vial in 1 carton / 1 ml in 1 vial of Krystexxa, a human prescription drug labeled by Horizon Therapeutics Usa, Inc.. This injection, solution is formulated for intravenous use and contains pegloticase 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 Horizon Therapeutics Usa, Inc. on September 14, 2010. The current certification is valid through December 31, 2027.

What are the primary indications for this medication?

Pegloticase is used to treat gout which has not responded to the usual treatments. It works by lowering high levels of uric acid in your body. Increased uric acid in your body can cause gout.

How is this Horizon Therapeutics Usa, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 75987008010. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
75987-080-10
11-Digit CMS (5-4-2)
75987-0080-10

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