NDC codes

FDA NDC Directory
Product NDC (as listed)0409-4091Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00409-4091Add 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
0409-4091-010040940910125 VIAL, PLASTIC in 1 TRAY (0409-4091-01) / 10 mL in 1 VIAL, PLASTIC (0409-4091-11)Marketed from Jan 31, 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)
Manganese
Generic name (nonproprietary)
manganese chloride
Active ingredients
Manganese chloride — .1 mg/mL
Dosage form
Injection, Solution
Route
Intravenous
Labeler
Hospira, Inc.NDC labeler code 0409
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018962
Marketing start
Listing expires
Other FDA classes
Magnetic Resonance Contrast Activity (Mechanism)
Identifiers
Product ID 0409-4091_b418544e-41b6-45b9-a581-4b6ee020c64eSPL ID b418544e-41b6-45b9-a581-4b6ee020c64eSPL set ID 6e979070-5035-4076-e09c-b52466be3c68RxCUI 237521UNII QQE170PANO
Pharmacologic class
Paramagnetic Contrast Agent

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

N400409409101 followed by a unit qualifier and the quantity

Package 00409-4091-01. 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 Manganese 0.1 mg/mL (Manganese Chloride Injection, USP) is indicated for use in adult patients as a supplement to intravenous solutions given for TPN. Administration helps to maintain manganese serum levels and to prevent depletion of endogenous stores and subsequent deficiency symptoms.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0409-4091

What is NDC 0409-4091?
0409-4091 is the product NDC for Manganese (manganese chloride), Manganese chloride .1 mg/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?
Manganese (Manganese chloride).
What is the active ingredient?
Manganese chloride.
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 Manganese?
1 other product NDC are listed under this name. See all Manganese 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 Manganese NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
ManganeseManganese chloride .1 mg/mLInjection, SolutionIntravenousFresenius Kabi USA, LLC65219-53065219-0530-10

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