Examples of NDC Qualifiers

Example #1 Pegfilgrastim

• J2505 = 6mg.
• Each syringe administered equals 1 J-code unit.
• Available as a 6mg/0.6mL syringe.
• The conversion factor is 1.66 so the NDC quantity is 1/1.66 = 0.6.
• The unit qualifier is "mL."

Example #2 Trastuzumab

• J9355 = 10mg.
• Each vial contains 440mg or 44 J-code units.
• The conversion factor is 44 so the NDC quantity is 44/44 = 1.
• Even though it is an MDV, it is listed as "Each" which is reported with the unit qualifier "UN" for unit.

Example #3 IVIG

• J1459 = 500mg.
• 100 gram dose = 200 J-code units.
• Available as 10% solution (10g/100ml).
• The conversion factor is 0.2 so the NDC quantity is 200/0.2 = 1000.
• The unit qualifier is "mL."