What is NDC 0517-9203?

0517-9203 is the product NDC for Multitrace -4 Pediatric (trace elements 4), Zinc sulfate heptahydrate 4.39 mg/mL + 3 more ingredients injection, solution, concentrate, listed with the FDA by American Regent, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Multitrace -4 Pediatric (Trace Elements 4).

What is the active ingredient?

Zinc sulfate heptahydrate, Cupric sulfate, Manganese sulfate, Chromic chloride.

American Regent, Inc., NDC labeler code 0517. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Multitrace -4 Pediatric?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Multitrace -4 Pediatric NDC 0517-9203 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)0517-9203Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00517-9203Add 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 NDC	11-digit (billing)	Package	Copy
0517-9203-25	00517920325	25 VIAL, SINGLE-DOSE in 1 TRAY (0517-9203-25) / 3 mL in 1 VIAL, SINGLE-DOSEMarketed from Dec 9, 1993

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 -4 Pediatric
Generic name (nonproprietary): trace elements 4
Active ingredients: Zinc sulfate heptahydrate — 4.39 mg/mLCupric sulfate — .4 mg/mLManganese sulfate — 77 ug/mLChromic chloride — 5.12 ug/mL
Dosage form: Injection, Solution, Concentrate
Route: Intravenous
Labeler: American Regent, Inc.NDC labeler code 0517
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Dec 9, 1993
Listing expires: Dec 31, 2026
Other FDA classes: Decreased Copper Ion Absorption (Physiologic effect)Magnetic Resonance Contrast Activity (Mechanism)
Identifiers: Product ID 0517-9203_8e5be3e5-1916-4d19-87ab-e2092f5d4c5aSPL ID 8e5be3e5-1916-4d19-87ab-e2092f5d4c5aSPL set ID 5ee6a685-3c35-467b-8d4d-79efdd0bfa8eRxCUI 1293464, 1293466UNII N57JI2K7WP, LRX7AJ16DT, W00LYS4T26, KB1PCR9DMWUPC 0305179203253
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

N400517920325 followed by a unit qualifier and the quantity

Package 00517-9203-25. 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 Apr 25, 2019.

Indications (excerpt from the label)

INDICATIONS AND USAGE This formulation is indicated for use as a supplement to intravenous solutions given for TPN for children up to 11 years of age. Administration of the solution in TPN solutions helps to maintain plasma levels of zinc, copper, manganese, 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)

About NDC 0517-9203

What is NDC 0517-9203?: 0517-9203 is the product NDC for Multitrace -4 Pediatric (trace elements 4), Zinc sulfate heptahydrate 4.39 mg/mL + 3 more ingredients injection, solution, concentrate, listed with the FDA by American Regent, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Multitrace -4 Pediatric (Trace Elements 4).
What is the active ingredient?: Zinc sulfate heptahydrate, Cupric sulfate, Manganese sulfate, Chromic chloride.
Who is the labeler?: American Regent, Inc., NDC labeler code 0517. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Multitrace -4 Pediatric?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Multitrace -4 Pediatric (Trace elements 4) NDC 0517-9203