NDC codes

FDA NDC Directory
Product NDC (as listed)0409-3977Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00409-3977Add 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
0409-3977-030040939770325 VIAL, MULTI-DOSE in 1 TRAY (0409-3977-03) / 30 mL in 1 VIAL, MULTI-DOSE (0409-3977-01)Marketed from Apr 30, 2005

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)
Bacteriostatic Water
Generic name (nonproprietary)
bacteriostatic water
Active ingredients
Water — 1 mL/mL
Dosage form
Injection, Solution
Route
Intramuscular, Intravenous, Subcutaneous
Labeler
Hospira, Inc.NDC labeler code 0409
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018802
Marketing start
Listing expires
Identifiers
Product ID 0409-3977_dfac2c43-36b4-4fc0-a22d-f70c4aad5f97SPL ID dfac2c43-36b4-4fc0-a22d-f70c4aad5f97SPL set ID 87d6e9dc-fe3b-4593-ac9a-d7493d1959c7UNII 059QF0KO0R

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

N400409397703 followed by a unit qualifier and the quantity

Package 00409-3977-03. 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 This parenteral preparation is indicated only for diluting or dissolving drugs for intravenous, intramuscular or subcutaneous injection, according to instructions of the manufacturer of the drug to be administered.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0409-3977

What is NDC 0409-3977?
0409-3977 is the product NDC for Bacteriostatic Water, Water 1 mL/mL injection, solution, listed with the FDA by Hospira, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Bacteriostatic Water.
What is the active ingredient?
Water.
Who is the labeler?
Hospira, Inc., NDC labeler code 0409. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Bacteriostatic Water?
5 other product NDCs are listed under this name. See all Bacteriostatic Water NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Bacteriostatic Water NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Bacteriostatic WaterWater 1 mL/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousFujian Genohope Biotech Ltd.84502-11584502-0115-02
Bacteriostatic WaterwaterWater 1 mL/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousHenry Schein, Inc.0404-997000404-9970-30
Bacteriostatic WaterWater 1 mL/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousHF Acquisition Co LLC, DBA HealthFirst51662-147351662-1473-01
Bacteriostatic WaterwaterWater 1 mL/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousMedical Purchasing Solutions, LLC71872-712971872-7129-01
Bacteriostatic WaterWater 1 mL/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousProPharma Distribution84549-97784549-0977-03

Other NDCs under NDA 018802

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

FDA NDC Directory listings under NDA 018802
ProductStrengthForm · routeLabelerProduct NDC
Bacteriostatic WaterwaterWater 1 mL/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousMedical Purchasing Solutions, LLC71872-7129
Bacteriostatic WaterWater 1 mL/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousProPharma Distribution84549-977
Bacteriostatic WaterWater 1 mL/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousHF Acquisition Co LLC, DBA HealthFirst51662-1473
Bacteriostatic WaterwaterWater 1 mL/mLInjection, SolutionIntramuscular, Intravenous, SubcutaneousHenry Schein, Inc.0404-9970

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