Overview

Active ingredients: Icodextrin, Sodium chloride, Sodium lactate, Calcium chloride, Magnesium chloride. Each product below links to its own NDC page with package NDCs in 10- and 11-digit form.

Generic name
Icodextrin, sodium chloride, sodium lactate, calcium chloride, magnesium chloride
Strengths
Icodextrin 7.5 g/100mL; Calcium chloride 25.7 mg/100mL; Sodium lactate 448 mg/100mL; Magnesium chloride 5.08 mg/100mL; Sodium chloride 540 mg/100mL; Sodium lactate 450 mg/100mL; Magnesium chloride 5.1 mg/100mL; Sodium chloride 538 mg/100mL; Sodium chloride 535 mg/100mL
Dosage forms
Injection, Solution
Routes
Intraperitoneal
Drug classes (FDA established)
Osmotic Laxative, Blood Coagulation Factor, Calculi Dissolution Agent, Phosphate Binder
HCPCS / J-code
None in Med-Code's directory for these products
Package NDCs
7

NDC codes

Newest listings first. Each row links to the product’s NDC page.

Extraneal NDC Codes: finished products
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)HCPCS
Extranealicodextrin, sodium chloride, sodium lactate, calcium chloride, magnesium chlorideIcodextrin 7.5 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-070700941-0707-06—
Extranealicodextrin, sodium chloride, sodium lactate, calcium chloride, magnesium chlorideIcodextrin 7.5 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-068100941-0681-04—
Extranealicodextrin, sodium chloride, sodium lactate, calcium chloride, magnesium chlorideIcodextrin 7.5 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-068100941-0681-08—
Extranealicodextrin, sodium chloride, sodium lactate, calcium chloride, magnesium chlorideIcodextrin 7.5 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-067900941-0679-0500941-0679-0600941-0679-52+1 more—

Extraneal: common questions

What is the NDC for Extraneal?
Extraneal has 4 product NDCs, one for each strength, dosage form and labeler; each product NDC then has one package NDC per package size. Pick the row for your product above to see its package NDCs.
Is there a J-code for Extraneal?
Med-Code's curated HCPCS directory has no drug-specific code for these products. Drugs dispensed by a pharmacy are billed by NDC. NDC vs J-code.
Which NDC goes on a claim?
The package NDC of what was given, in 11-digit form. How to convert a 10-digit NDC.

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