NDC codes

FDA NDC Directory
Product NDC (as listed)0409-7100Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00409-7100Add 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
0409-7100-020040971000212 POUCH in 1 CASE (0409-7100-02) / 2 BAG in 1 POUCH / 250 mL in 1 BAG (0409-7100-04)Marketed from Jun 27, 2005
0409-7100-670040971006710 POUCH in 1 CASE (0409-7100-67) / 5 BAG in 1 POUCH / 100 mL in 1 BAG (0409-7100-69)Marketed from Sep 14, 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)
Dextrose
Generic name (nonproprietary)
dextrose monohydrate
Active ingredients
Dextrose monohydrate — 50 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 019466
Marketing start
Marketing end
Identifiers
Product ID 0409-7100_866dbe30-cc33-4521-803e-f45ce1ca372bSPL ID 866dbe30-cc33-4521-803e-f45ce1ca372bSPL set ID 10e98cb0-31a5-4ad1-3eaa-aa4af387a42dRxCUI 1795609, 1795610, 1795616UNII LX22YL083G

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

N400409710002 followed by a unit qualifier and the quantity

Package 00409-7100-02. 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)

Dextrose Injection (5%) is indicated as a source of water and calories in adult and pediatric patients and may also be used as a diluent for reconstitution of a powder or liquid drug product. Dextrose Injection (5%) is indicated as a source of water and calories in adult and pediatric patients and may also be used as a diluent for reconstitution of a powder or liquid drug product. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0409-7100

What is NDC 0409-7100?
0409-7100 is the product NDC for Dextrose (dextrose monohydrate), Dextrose monohydrate 50 mg/mL injection, solution, listed with the FDA by Hospira, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dextrose (Dextrose monohydrate).
What is the active ingredient?
Dextrose monohydrate.
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 Dextrose?
69 other product NDCs are listed under this name. See all Dextrose 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 Dextrose NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dextrosedextrose monohydrateDextrose monohydrate 250 mg/mLInjection, SolutionIntravenousREMEDYREPACK INC.70518-445270518-4452-00
Dextrosedextrose monohydrateDextrose monohydrate 25 g/50mLInjection, SolutionIntravenousREMEDYREPACK INC.70518-421970518-4219-00
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-45865219-0458-30
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-45665219-0456-60
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-46065219-0460-20
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-46265219-0462-10
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-46465219-0464-50
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousProPharma Distribution84549-46084549-0460-20
Dextrosedextrose monohydrateDextrose monohydrate 25 g/50mLInjection, SolutionIntravenousHenry Schein, Inc.0404-984500404-9845-50
Dextrosedextrose monohydrateDextrose monohydrate 25 g/50mLInjection, SolutionIntravenousHenry Schein, Inc.0404-984700404-9847-50

All 70 Dextrose NDCs

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