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  5. NDC Package Code: 75987-150-03 Uplizna

NDC Package 75987-150-03 Uplizna

Inebilizumab Injection 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:
75987-150-03
Package Description:
3 VIAL, SINGLE-DOSE in 1 CARTON / 10 mL in 1 VIAL, SINGLE-DOSE (75987-150-01)
Product Code:
75987-150
Proprietary Name:
Uplizna
Non-Proprietary Name:
Inebilizumab
Substance Name:
Inebilizumab
Usage Information:
UPLIZNA is indicated for the treatment of neuromyelitis optica spectrum disorder (NMOSD) in adult patients who are anti-aquaporin-4 (AQP4) antibody positive.
11-Digit NDC Billing Format:
75987015003
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
  • RxCUI: 2373955 - inebilizumab-cdon 100 MG in 10 ML Injection
  • RxCUI: 2373955 - 10 ML inebilizumab-cdon 10 MG/ML Injection
  • RxCUI: 2373955 - inebilizumab-cdon 100 MG per 10 ML Injection
  • RxCUI: 2373960 - UPLIZNA 100 MG in10 ML Injection
  • RxCUI: 2373960 - 10 ML inebilizumab-cdon 10 MG/ML Injection [Uplizna]
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Horizon Therapeutics Usa, Inc.
    Dosage Form:
    Injection - A sterile preparation intended for parenteral use; five distinct classes of injections exist as defined by the USP.
    Administration Route(s):
  • Intravenous - Administration within or into a vein or veins.
    • Active Ingredient(s):
  • INEBILIZUMAB 10 mg/mL
    • Pharmacologic Class(es):
  • CD19-directed Antibody Interactions - [MoA] (Mechanism of Action)
  • CD19-directed Cytolytic Antibody - [EPC] (Established Pharmacologic Class)
    • Sample Package:
    No
    FDA Application Number:
    BLA761142
    Marketing Category:
    BLA - A product marketed under an approved Biologic License Application.
    Start Marketing Date:
    06-11-2020
    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 75987-150-03 HCPCS crosswalk information with package details and bill units information.

    NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
    75987015003J1823Inj. inebilizumab-cdon, 1 mg1 MG103100300

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 75987-150-03?

    The NDC Packaged Code 75987-150-03 is assigned to a package of 3 vial, single-dose in 1 carton / 10 ml in 1 vial, single-dose (75987-150-01) of Uplizna, a human prescription drug labeled by Horizon Therapeutics Usa, Inc.. The product's dosage form is injection and is administered via intravenous form.

    Is NDC 75987-150 included in the NDC Directory?

    Yes, Uplizna with product code 75987-150 is active and included in the NDC Directory. The product was first marketed by Horizon Therapeutics Usa, Inc. on June 11, 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 75987-150-03?

    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 75987-150-03?

    The 11-digit format is 75987015003. 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
    5-3-275987-150-035-4-275987-0150-03