NDC codes

FDA NDC Directory
Product NDC (as listed)0517-8510Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00517-8510Add 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
0517-8510-250051785102525 VIAL, MULTI-DOSE in 1 TRAY (0517-8510-25) / 10 mL in 1 VIAL, MULTI-DOSEMarketed from Feb 17, 1994

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)
Multitrace-5
Generic name (nonproprietary)
trace elements 5
Active ingredients
Zinc sulfate heptahydrate — 4.39 mg/mLCupric sulfate — 1.57 mg/mLManganese sulfate — .308 mg/mLChromic chloride — 20.5 ug/mLSelenious acid — 32.7 ug/mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Decreased Copper Ion Absorption (Physiologic effect)Magnetic Resonance Contrast Activity (Mechanism)
Identifiers
Product ID 0517-8510_db92fb2d-610d-427e-ab62-0a0bb07e6cc0SPL ID db92fb2d-610d-427e-ab62-0a0bb07e6cc0SPL set ID ef63bbe8-ebf8-436c-b38d-6cb92bc91ac0RxCUI 1293736, 1293739UNII N57JI2K7WP, LRX7AJ16DT, W00LYS4T26, KB1PCR9DMW, F6A27P4Q4RUPC 0305178510253
Pharmacologic class
Copper Absorption Inhibitor; 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

N400517851025 followed by a unit qualifier and the quantity

Package 00517-8510-25. 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 formulation is indicated for use as a supplement to intravenous solutions given for TPN. Administration of the solution in TPN solutions helps to maintain plasma levels of zinc, copper, manganese, selenium and chromium and to prevent depletion of endogenous stores of these trace elements and subsequent deficiency symptoms.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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