NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9902Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9902Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0404-9902-20004049902201 VIAL, SINGLE-DOSE in 1 BAG (0404-9902-20) / 20 mL in 1 VIAL, SINGLE-DOSEMarketed from Jan 12, 2022

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Magnesium Sulfate
Generic name (nonproprietary)
magnesium sulfate
Active ingredients
Magnesium sulfate heptahydrate — 500 mg/mL
Dosage form
Injection, Solution
Route
Intramuscular, Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 019316
Marketing start
Listing expires
Other FDA classes
Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 0404-9902_3eacd64d-fec5-4c18-a80a-d87231610738SPL ID 3eacd64d-fec5-4c18-a80a-d87231610738SPL set ID c255b8a9-68da-49c1-897b-bc18b731e459RxCUI 1658236UNII SK47B8698T
Pharmacologic class
Calculi Dissolution Agent; Osmotic Laxative

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N400404990220 followed by a unit qualifier and the quantity

Package 00404-9902-20. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS AND USAGE Magnesium Sulfate Injection, USP is suitable for replacement therapy in magnesium deficiency, especially in acute hypomagnesemia accompanied by signs of tetany similar to those observed in hypocalcemia. In such cases, the serum magnesium level is usually below the lower limit of normal (1.5 to 2.5 mEq/L) and the serum calcium level is normal (4.3 to 5.3 mEq/L) or elevated. In total parenteral nutrition (TPN), magnesium sulfate may be added to the nutrient admixture to correct or prevent hypomagnesemia which can arise during the course of therapy. Magnesium sulfate injection is also indicated for the prevention and control of seizures in pre-eclampsia and eclampsia, resp…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 019316

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 019316
ProductStrengthForm · routeLabelerProduct NDC
Magnesium SulfateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousHenry Schein, Inc.0404-9904
Magnesium Sulfatemagnesium sulfate heptahydrateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousFresenius Kabi USA, LLC63323-642
Magnesium Sulfatemagnesium sulfate heptahydrateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousMedical Purchasing Solutions, LLC71872-7229
Magnesium Sulfatemagnesium sulfate heptahydrateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousProPharma Distribution84549-064
Magnesium Sulfatemagnesium sulfate heptahydrateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousProPharma Distribution84549-064
Magnesium Sulfatemagnesium sulfate heptahydrateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousFresenius Kabi USA, LLC63323-064
Magnesium Sulfatemagnesium sulfate heptahydrateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousFresenius Kabi USA, LLC63323-064
Magnesium Sulfatemagnesium sulfate heptahydrateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousFresenius Kabi USA, LLC63323-064
Magnesium Sulfatemagnesium sulfate heptahydrateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousREMEDYREPACK INC.70518-4375
Magnesium SulfateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1372
Magnesium SulfateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1390
Magnesium Sulfatemagnesium sulfate heptahydrateMagnesium sulfate heptahydrate 500 mg/mLInjection, SolutionIntramuscular, IntravenousMedical Purchasing Solutions, LLC71872-7142

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